Screen for Afib in CABG Patients
In a population of more than 79,000 Medicare patients, 20% of CABG patients had an admission for Afib within 3 years before the CABG, but the Afib diagnosis was often unknown during referral.3
Possible Ways to Identify Patients with Afib when Referred for Heart Surgery:
- Include screening questions at referral in the surgical intake process, such as:
- Have you ever been told you have an irregular heart beat?
- Have you ever had heart palpitations?
- Have you ever taken blood thinners?
- Have you ever taken medicines to manage your heart rate?
- Review chart history for a past Afib diagnosis, Holter monitoring, cardioversion, or catheter ablation.
- Contact primary physician, such as the General Cardiologist or Heart Failure Specialist, to ask about any history of Afib.
- Implement screening and a follow-up process for patients who present to the ED with Afib.
- Discuss concomitant surgical Afib treatment during the referral process with the referring physician, as well as the primary physician.
- Consider active navigation of Afib patients with a Nurse Navigator to guide the patient through the referral, treatment, and follow-up management.
Did you know?
Patients who are managed by a Nurse Navigator have:58
Fewer readmissions and ED visits
Higher retention in the same system for other care needs
Reduced length of stay in the ICU
SA: Surgical Ablation
ED: Emergency Department
ICU: Intensive Care Unit