Effects upon postoperative atrial fibrillation prediction of varied observation time windows

Yu Deng, Kevin Yu, Ethan M.I. Johnson, David S. Melnick, Sukhveer S. Sandhu, Mozziyar Etemadi, Abel N. Kho

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Post-operative atrial fibrillation (PoAF) occurs in 20-40% patients undergoing cardiac bypass graft surgery, but predicting its occurrence is a known challenge. Onset time of PoAF varies from one day to a few weeks after the cardiac surgery. We hypothesize that some of the difficulty in predicting PoAF and the inconsistency reported in previous studies stems from this variation, as patients with different time of onset after surgery also have different characteristics, and predictive models vary based on the window of observation after surgery. Here, we illustrate temporal dynamics in demographics and risk factors of AF incidence by developing models to predict PoAF onset day by day after surgery. In our results, age and prior AF remain associated with PoAF across different time observation windows (i.e. 0-7 days). The effect of gender, smoking, diabetes, and pre-operative beta blocker use differed with the length of post-surgery observation for AF.

Original languageEnglish (US)
Title of host publication2019 IEEE International Conference on Healthcare Informatics, ICHI 2019
PublisherInstitute of Electrical and Electronics Engineers Inc.
ISBN (Electronic)9781538691380
DOIs
StatePublished - Jun 2019
Event7th IEEE International Conference on Healthcare Informatics, ICHI 2019 - Xi'an, China
Duration: Jun 10 2019Jun 13 2019

Publication series

Name2019 IEEE International Conference on Healthcare Informatics, ICHI 2019

Conference

Conference7th IEEE International Conference on Healthcare Informatics, ICHI 2019
Country/TerritoryChina
CityXi'an
Period6/10/196/13/19

Keywords

  • EHR
  • Logistic regression
  • Postoperative atrial fibrillation
  • Predictive modeling

ASJC Scopus subject areas

  • Artificial Intelligence
  • Computer Science Applications
  • Health Informatics
  • Biomedical Engineering

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