Evaluating the effectiveness of echocardiographic guidance in diminishing postoperative wound complications for left atrial appendage closure: A clinical retrospective study

Echocardiographic guidance in left atrial appendage (LAA) closure procedures is increasingly recognized for its potential to enhance patient outcomes in atrial fibrillation (AF). This retrospective study assesses its impact on hospital stay duration, readmission rates and surgical site wound complic...

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Bibliographic Details
Published in:International wound journal 2024-04, Vol.21 (4), p.e14742-n/a
Main Authors: Li, Chong‐shou, Li, Xiao‐fang, Huang, Xiao‐yan, Chen, Fang‐fang
Format: Article
Language:English
Subjects:
Atrial Appendage - diagnostic imaging
Atrial Appendage - surgery
atrial fibrillation
Atrial Fibrillation - complications
Atrial Fibrillation - surgery
echocardiographic guidance
Echocardiography
Humans
Left Atrial Appendage Closure
Postoperative Complications - prevention & control
postoperative rehabilitation
Retrospective Studies
Treatment Outcome
wound complications
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Summary:Echocardiographic guidance in left atrial appendage (LAA) closure procedures is increasingly recognized for its potential to enhance patient outcomes in atrial fibrillation (AF). This retrospective study assesses its impact on hospital stay duration, readmission rates and surgical site wound complications in 200 AF patients. Divided equally into an echocardiographically guided group (Group E) and a non‐guided group (Group N), the analysis focused on detailed patient data encompassing hospital stay, 30‐day readmission and wound complications. Findings revealed that Group E experienced a significantly shorter average hospital stay of 3.5 days, compared with 6.5 days in Group N, along with a lower 30‐day readmission rate (5% vs. 18% in Group N). Furthermore, Group E showed a considerable reduction in surgical site wound complications, such as infections and hematomas. The study concludes that echocardiographic guidance in LAA closure procedures markedly improves postoperative wound outcomes, underscoring its potential as a standard practice in cardiac surgeries for AF patients. This approach not only optimizes patient safety and postoperative recovery but also enhances healthcare resource utilization.
ISSN:1742-4801
1742-481X
1742-481X
DOI:10.1111/iwj.14742