The Impact of Atrial Fibrillation on Hospital Length of Stay After Cardiac Surgery

  • Jacqueline E. Tamis
  • Jonathan S. Steinberg
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 222)


The economic burden of healthcare expenditures remains a substantial concern nationwide. Physicians, third party payers and governmental agencies have begun to focus on methods to contain costs while maintaining high standards of health care delivery. During this era of widespread healthcare reform, considerable emphasis has been placed on cardiac surgery, a major contributor to gross expenditures. Approximately 500,000 cardiothoracic surgery procedures are performed each year [1] at an estimated cost of $45,000 per procedure [2]. Hospital length of stay after cardiac surgery is an important determinant of total hospital charges. The institution of critical pathways including same day admissions, early extubation, early transfer out of the intensive care unit, and early ambulation, has successfully shortened hospital length of stay after surgery without any adverse effects on morbidity or mortality [3-11]. Several reports have demonstrated a significant decrease in total hospital charges related to cardiac surgery as a result of these modifications [6-9].


Atrial Fibrillation Coronary Artery Bypass Grafting Coronary Artery Bypass Sinus Rhythm Hospital Length 
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Copyright information

© Kluwer Academic Publishers 2000

Authors and Affiliations

  • Jacqueline E. Tamis
    • 1
  • Jonathan S. Steinberg
    • 1
  1. 1.St. Luke’s-Roosevelt Hospital Center and Columbia University College of Physicians and SurgeonsNew York

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