{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:27:05Z","timestamp":1762918025459},"reference-count":35,"publisher":"AACN Publishing","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,15]]},"abstract":"<jats:p>Postoperative atrial fibrillation is the most common dysrhythmia to occur after coronary artery bypass graft surgery. It develops in 10% to 40% of patients and can lead to complications such as hemodynamic instability, heart failure, and stroke. Risk factors include hypertension, diabetes, chronic kidney disease, and obesity. Patients who experience postoperative atrial fibrillation often have longer hospital stays, are at higher risk for readmission, and have increased mortality. Protocols designed to reduce the incidence of the condition can decrease hospital costs, improve patient outcomes, and increase overall quality of care. This quality improvement project took place in a tertiary care center located in southeastern Michigan and focused on the development and implementation of an evidence-based postoperative atrial fibrillation prophylaxis protocol using amiodarone. The outcomes of this project suggest that amiodarone prophylaxis can reduce the incidence of postoperative atrial fibrillation in patients with no previous history of atrial fibrillation undergoing coronary artery bypass graft surgery.<\/jats:p>","DOI":"10.4037\/aacnacc2019470","type":"journal-article","created":{"date-parts":[[2019,8,29]],"date-time":"2019-08-29T00:55:24Z","timestamp":1567040124000},"page":"249-258","source":"Crossref","is-referenced-by-count":9,"title":["Reducing New-Onset Atrial Fibrillation After Coronary Artery Bypass Graft Surgery"],"prefix":"10.4037","volume":"30","author":[{"given":"Melanie J.","family":"Coletta","sequence":"first","affiliation":[{"name":"Melanie J. Coletta is Cardiothoracic Nurse Practitioner, Beaumont Hospital, 18101 Oakwood Blvd, Dearborn, MI 48124 (nursecoletta@gmail.com)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gail","family":"Lis","sequence":"additional","affiliation":[{"name":"Gail Lis is Director, Nurse Practitioner Program, and Professor, College of Nursing and Health, Madonna University, Livonia, Michigan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Clark","sequence":"additional","affiliation":[{"name":"Patricia Clark is Associate Professor, Nurse Practitioner Program, College of Nursing and Health, Madonna University, Livonia, Michigan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza","family":"Dabir","sequence":"additional","affiliation":[{"name":"Reza Dabir is Chief of Cardiovascular and Thoracic Surgery, Beaumont Hospital, Dearborn, Michigan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farzad","family":"Daneshvar","sequence":"additional","affiliation":[{"name":"Farzad Daneshvar is Cardiology Clinical Pharmacist Specialist, Beaumont Hospital, Dearborn, Michigan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2471","reference":[{"key":"2022042504202592100_b1-0300249","article-title":"Atrial fibrillation fact sheet","author":"Centers for Disease Control and Prevention","year":"2017"},{"issue":"1","key":"2022042504202592100_b2-0300249","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.athoracsur.2007.02.014","article-title":"Beta-blocker prophylaxis for atrial fibrillation after coronary artery bypass grafting in patients with sympathovagal imbalance","volume":"84","author":"Budeus","year":"2007","journal-title":"Ann Thorac Surg"},{"issue":"8","key":"2022042504202592100_b3-0300249","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1111\/pace.12140","article-title":"Timing and route of amiodarone for prevention of postoperative atrial fibrillation after cardiac surgery: a network regression meta-analysis","volume":"36","author":"Chatterjee","year":"2013","journal-title":"Pacing Clin Electro-physiol"},{"issue":"1","key":"2022042504202592100_b4-0300249","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.athoracsur.2016.05.115","article-title":"Predictors of atrial fibrillation after coronary artery bypass grafting: a Bayesian analysis","volume":"103","author":"Perrier","year":"2017","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"2022042504202592100_b5-0300249","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.nurpra.2017.03.017","article-title":"Prophylactic amiodarone treatment for atrial fibrillation after coronary artery bypass surgery","volume":"13","author":"Thanavaro","year":"2017","journal-title":"J Am Assoc Nurse Pract"},{"issue":"1","key":"2022042504202592100_b6-0300249","doi-asserted-by":"crossref","first-page":"1927","DOI":"10.1016\/j.athoracsur.2006.06.032","article-title":"Prophylactic amiodarone for prevention of atrial fibrillation after cardiac surgery: a meta-analysis","volume":"82","author":"Bagshaw","year":"2006","journal-title":"Ann Thorac Surg"},{"issue":"4","key":"2022042504202592100_b7-0300249","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1016\/j.jtcvs.2013.03.040","article-title":"Clinical utility of CHADS2 and CHA2DS2-VASc scoring systems for predicting postoperative atrial fibrillation after cardiac surgery","volume":"146","author":"Chua","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"2022042504202592100_b8-0300249","doi-asserted-by":"publisher","first-page":"e153","DOI":"10.1016\/j.jtcvs.2014.06.036","article-title":"AATS guidelines for the prevention and management of perioperative atrial fibrillation and flutter for thoracic surgical procedures","volume":"148","author":"Frendl","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022042504202592100_b9-0300249","unstructured":"Washington University School of Medicine in St. Louis\n          . 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