Multi-inflammatory index as a novel predictor of new-onset atrial fibrillation after off-pump coronary artery bypass grafting

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dc.authorid0000-0001-8553-7939
dc.contributor.authorYüksel, Ahmet
dc.contributor.authorVelioğlu, Yusuf
dc.contributor.authorAtasoy, Mustafa Selçuk
dc.contributor.authorMüdüroğlu, Ayhan
dc.contributor.authorDeşer, Serkan Burç
dc.contributor.authorGürbüz, Orçun
dc.contributor.authorAldemir, Mustafa
dc.contributor.authorÇetintaş, Demir
dc.contributor.authorKılıç, Ali Önder
dc.contributor.authorBadem, Serdar
dc.date.accessioned2025-03-05T07:24:51Z
dc.date.available2025-03-05T07:24:51Z
dc.date.issued2024-05
dc.departmentFakülteler, Meslek Yüksekokulu, İlk ve Acil Yardım Bölümü
dc.descriptionScience Citation Index Expanded (SCI-EXPANDED)
dc.description.abstractBackground: To our knowledge, a possible predictive relationship of the multi-inflammatory index (MII) with new-onset atrial fibrillation (AF) after off-pump coronary artery bypass grafting (CABG) has not yet been studied in the literature. Aims: We aimed to investigate whether the MII is a novel group of hematological markers for predicting postoperative new-onset AF in patients undergoing off-pump CABG. Methods: A total of 427 patients undergoing isolated off-pump CABG between October 2021 and December 2023 were enrolled in this retrospective observational cohort study and allocated to two groups: the AF group (n = 108) and the non-AF group (n = 319). The groups were compared in terms of baseline clinical patient characteristics, laboratory parameters, and operative and postoperative data. Results: The median values of age, length of hospital stay, platelet and neutrophil count, C-reactive protein level, systemic immune-inflammation index, MII-1, MII-2, and MII-3 were significantly greater in the AF group compared to the non-AF group in univariate analyses. In multiple explanatory variable logistic regression analysis, MII-1, MII-2, and MII-3 were determined to be significant hematological variables, and thereby these indices were considered the independent predictors of postoperative new-onset AF. Receiver operating characteristic curve analyses showed that to predict postoperative new-onset AF, MII-1 of 22.47 constituted the cut-off value with 62.0% sensitivity and 57.0% specificity, MII-2 of 141.77 constituted the cut-off value with 43.5% sensitivity and 76.8% specificity, and MII-3 of 5669 constituted the cut-off value with 63.8% sensitivity and 58.3% specificity. Conclusion: This study demonstrated for the first time that all MIIs predicted new-onset AF after off-pump CABG.
dc.identifier.citationYüksel, A., Velioğlu, Y., Atasoy, M. S., Müdüroğlu, A., Gürbüz, O., Aldemir, M., Deşer, S. B., Çetintaş, D., Kılıç, A. O. & Badem, S. (2024). Multi-inflammatory index as a novel predictor of new-onset atrial fibrillation after off-pump coronary artery bypass grafting. Polish Heart Journal (Kardiologia Polska). 82(7-8), 733-740. https://doi.org/10.33963/v.phj.100847
dc.identifier.doi10.33963/v.phj.100847
dc.identifier.eissn1897-4279
dc.identifier.endpage740
dc.identifier.issn0022-9032
dc.identifier.issue7-8
dc.identifier.scopus2-s2.0-85197408386
dc.identifier.startpage733
dc.identifier.urihttps://dspace.mudanya.edu.tr/handle/20.500.14362/290
dc.identifier.volume82
dc.identifier.wosWOS:001314402400001
dc.identifier.wosqualityQ1
dc.institutionauthorGürbüz, Orçun
dc.language.isoen
dc.publisherPolish Cardiac Soc
dc.relation.journalPolish Heart Journal (Kardiologia Polska)
dc.relation.publicationcategoryMakale- Uluslararası- Hakemli Dergi- Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectatrial fibrillation
dc.subjectcoronary artery bypass grafting
dc.subjectmulti-inflammatory index
dc.subjectoff-pump
dc.subjectpredictor
dc.titleMulti-inflammatory index as a novel predictor of new-onset atrial fibrillation after off-pump coronary artery bypass grafting
dc.typeMakale
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