Raja Shahzad G, Behranwala Ali A, Dunning J
Department of Cardiac Surgery, Alder Hey Hospital, Liverpool L12 2AP, UK.
Interact Cardiovasc Thorac Surg. 2004 Dec;3(4):647-52. doi: 10.1016/j.icvts.2004.07.016.
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether off-pump coronary artery surgery reduces the incidence of postoperative atrial fibrillation. Altogether 107 papers were found using the reported search, of which 18 presented the best evidence to answer the clinical question. The author, journal, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these papers are tabulated. We conclude that off-pump coronary artery surgery significantly reduces the incidence of postoperative atrial fibrillation with a number needed to treat of 20 to prevent one case of AF.
一篇心脏外科的最佳证据主题文章是根据结构化方案撰写的。所探讨的问题是不停跳冠状动脉搭桥手术是否能降低术后房颤的发生率。通过报告的检索共找到107篇论文，其中18篇提供了回答该临床问题的最佳证据。这些论文的作者、期刊、发表日期和国家、所研究的患者群体、研究类型、相关结局、结果以及研究不足均被制成表格。我们得出结论，不停跳冠状动脉搭桥手术能显著降低术后房颤的发生率，预防一例房颤所需的治疗人数为20人。
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