Thu, Mar 23, 2017 | updated 01:50 PM IST

New study to help reduce post-operative setbacks in cardiac patients

Updated: Sep 07, 2016 17:27 IST

Washington D.C. [USA], Sept. 7 (ANI): A recent study estimates that up to six million Americans have a form of Atrial fibrillation (AF) and the

number is expected to rise as the population ages.

AF is a condition in which the upper chambers of the heart contract in a way that's out of sync with the lower chambers, causing an irregular

heartbeat and poor blood flow to the body.

This leads to increased risk for blood clots in the heart, stroke and heart failure.

A common form of AF is postoperative atrial fibrillation (POAF), which occurs in patients who have undergone surgery.

This can lead to lengthened hospital stays, complications and mortality.

The Minneapolis Heart Institute Foundation (MHIF) recognized that the occurrence of POAF under traditional surgical protocols was not

preventing or reducing the number of POAF patients.

A team, led by Timothy Henry and Craig Strauss was tasked with investigating whether the protocols could be changed in such a way

that POAF could be reduced.

They reviewed existing literature and protocols as well as data from electronic medical records (EMR), which indicated that POAF occurs in

nearly 30% of cardiovascular surgery cases.

The highest incidences occurred in people over the age of 70 with left atrial enlargement and hypertension.

A new protocol was developed and entered in the EMR, advising physicians and surgeons to look for patients eligible to receive the

prophylactic amiodarone that can treat and prevent AF.

Part of the investigation was to determine how the use of the EMR in such a way could be leveraged to both identify prospective patients

and to inform physicians of this development.

The new protocol was launched in April 2013, and through the end of 2013 there were 157 elective cardiac surgeries.

Of those, some patients were pre-evaluated and treated with amiodarone, some were pre-evaluated but not treated and the remaining

patients were neither pre-evaluated nor treated.

The first group had a reduced occurrence of POAF, from an expected 38% to 11 percent, while the other groups did not experience that reduction.

Such a reduction drives significant forecasted savings.

For example, if the protocol were fully implemented across the study location, it could potentially reduce hospital days associated with

POAF by 110 days per year, representing nearly 250,000 dollars.

Multiply that out across the country and the health care cost savings becomes even more significant.

These preliminary results indicate the possibility that changing the protocol can reduce POAF, offering improved outcomes for the patients.

In addition, it identifies the potential to significantly reduce healthcare costs.

Finally, it establishes a process for protocol review that can become a model for other protocol reviews, including those involved with

mining EMR for potential solutions to health-related problems.

"We are proud to be on the forefront of not only improving outcomes for patients, but also driving towards the triple aim of healthcare by

reducing costs and improving care," said Henry. (ANI)

Washington D.C. [USA], Mar. 23 (ANI): For women, stay fit and maintain a healthy weight, as a study finds a higher waist-to-hip ratios increases the risk of ovarian cancer risk by more than a fifth.

Full Story >>

Washington D.C. [USA], Mar. 23 (ANI): A study finds that people who are born blind have heightened sense of hearing, smell and touch, suggesting that their brain "rewires" itself in the absence of visual information to boost other senses.

Full Story >>

New Delhi [India], Mar. 23 (ANI): For those suffering with age-related (degenerative) arthritis of the knee, a stage comes when all the reasonable non-operative options stops working.

Full Story >>

Hepatitis drug can help cut Ebola death rate

Updated: Mar 22, 2017 09:30 IST

Washington D.C. [USA], Mar. 22 (ANI): A class of drugs used to treat hepatitis and some forms of multiple sclerosis has shown promise in treating Ebola.

Full Story >>

Weekend surgery 'not riskier'

Updated: Mar 22, 2017 09:20 IST

Washington D.C. [USA], Mar. 22 (ANI): Day of the week has no impact on the survival chances of people undergoing emergency surgery, a new research has found.

Full Story >>

Washington D.C. [USA], Mar. 22 (ANI): Despite existing prevention methods, transmission of infections with HIV, hepatitis B, syphilis or rubella from mother to child before and during birth as well as in infancy still occur across Europe.

Full Story >>

Changes in blood may spur Alzheimer's disease

Updated: Mar 22, 2017 07:29 IST

Washington D.C. [USA], Mar. 22 (ANI): A recent study has linked changes in the vascular system to Alzheimer's disease.

Full Story >>

Spraying onto broken hearts to heal them

Updated: Mar 22, 2017 06:45 IST

Washington D.C. [USA], Mar. 22 (ANI): A team of scientist has come up with a new method that may make the heart surgeries a history.

Full Story >>

Washington D.C. [USA], Mar. 22 (ANI): With both tourism and casual "hookup" sex on the rise among college-age adults, there's an urgent need for gender-sensitive and age-appropriate sexual health campaigns that are tailored to young women's motivations for taking sexual risks while travelling, a new study has suggested.

Full Story >>

Washington D.C. [USA], Mar. 21 (ANI): Now, detecting a mosquito-borne illness will be as easy as clicking a smartphone app - thanks to a team of scientists.

Full Story >>

Washington D.C. [USA], Mar. 21 (ANI): A team of researchers has shed some light on how infections during pregnancy may interfere with the genes linked to prenatal brain development.

Full Story >>

Soon, a faster way to treat depression

Updated: Mar 21, 2017 16:02 IST

Washington D.C. [USA], Mar. 21 (ANI): A new and faster way to treat depression has come closer to reality - thanks to a team of scientists.

Full Story >>

All you need to know on Colorectal Cancer!

Updated: Mar 21, 2017 08:00 IST

New Delhi [India], Mar. 21 (ANI): Colorectal cancer is also known as colon cancer, bowel cancer. It refers to a cancerous growth, lump or a tumour in the colon and the rectum. It is the second most common cancer, after adenocarcinoma.

Full Story >>

Prevent yourself from chronic kidney disease!

Updated: Mar 21, 2017 07:50 IST

New Delhi [India], Mar. 21 (ANI): Each person normally has two kidneys, which are about the size of a fist and are located on either side of the spine at the level of waist.

Full Story >>

Washington D.C. [USA], Mar. 20 (ANI): In over-weight people, immune cells prevalent in the fatty tissue get reduced in number which may contribute to cause diabetes and hypertension, according to a recent study.

Full Story >>

Washington D.C. [USA], Mar. 20 (ANI): A study finds that by combining two independent, scientifically-proven risk measurements, physicians can better predict a patient's irregular and often very fast heart rate risk of stroke or death.

Full Story >>

Washington D.C. [USA], Mar. 19 (ANI): According to a recent study, pulmonary embolism (PE) treatments have low rates of use across the United States.

Full Story >>

Washington D.C. [USA], Mar. 19 (ANI): An advanced form of image-guided radiation therapy, known as intensity modulated proton therapy (IMPT), has shown early promise for the treatment of recurrent lung cancer.

Full Story >>

Washington D.C. [USA], Mar. 19 (ANI): Tennis elbow sufferers, if the idea of going under the knife is terrifying, then you can opt for non-operative approaches as a recent study has suggested that surgery may not offer additional benefit.

Full Story >>

Washington D.C. [USA], Mar. 19 (ANI): A majority of Anterior Cruciate Ligament (ACL) reconstruction patients develop posttraumatic osteoarthritis (PTOA) and now, a recent study has found how a set of biomarkers on the day of surgery may explain why some individuals have worse PTOA than others after two years.

Full Story >>