ArticleAmerican heart journal2012
Incidence, predictors, and outcomes associated with postoperative atrial fibrillation after major noncardiac surgery.
Article in American heart journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04340960 (Effect of Continuity of Care With Digital Home Monitoring on Postoperative Outcomes in Patients Undergoing Thoracic Surgery), which is not on this map. Cited by 91 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of Continuity of Care With Digital Home Monitoring on Postoperative Outcomes in Patients Undergoing Thoracic Surgery: A Pilot Randomized Controlled Trial (CDHM: RCT)
Who cites it
91 citing papers in PubMed, 3 syntheses or guidelines pooled it, 223 citations in OpenAlex.
- Guideline
- 2014 AATS guidelines for the prevention and management of perioperative atrial fibrillation and flutter for thoracic surgical procedures.The Journal of thoracic and cardiovascular surgery · 2014Guideline
- 3rd Guideline for Perioperative Cardiovascular Evaluation of the Brazilian Society of Cardiology.Arquivos brasileiros de cardiologiaGuideline
- Association between preoperative pan-immune-inflammation value and postoperative atrial fibrillation after scheduled video-assisted thoracoscopic lobectomy.General thoracic and cardiovascular surgery · 2026Article
- A case of new onset of atrial fibrillation during thoracoscopic lobectomy and review of the literature.Journal of cardiothoracic surgery · 2026Review
- Perioperative outcome of left atrial appendage amputation in coronary artery bypass grafting.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- Association between early postoperative coefficient of variation of heart rate and delayed atrial fibrillation following sublobar lung resection: a retrospective cohort study.Scientific reports · 2026Article
- Development of risk prediction model for new-onset atrial fibrillation in elderly patients undergoing video-assisted thoracoscopic surgery: a retrospective cohort study.Journal of thoracic disease · 2026Article
- Prophylaxis with diltiazem decreases arrhythmia rate when compared to beta-blocker following lobectomy.Journal of thoracic disease · 2026Article
- Article
- Predictive Value of Preoperative Left Atrial Coupling Indices for Postoperative Atrial Fibrillation After Isolated CABG.Medicina (Kaunas, Lithuania) · 2026Article
- Predicting postoperative complications after pneumonectomy using machine learning: a 10-year study.Annals of medicine · 2025Article
- Predictive Value of P-Wave Dispersion and P-Wave Peak Time for Development of Postoperative Atrial Fibrillation in Renal Transplant Recipients.Annals of transplantation · 2025Article
- Stellate ganglion block for preventing postoperative arrhythmias: a protocol for a systematic review and meta-analysis.BMJ open · 2025Article
- Postoperative atrial fibrillation in emergent non-cardiac surgery: Risk factors and outcomes from a ten-year intensive-care unit retrospective study.World journal of critical care medicine · 2025Article
- Article
- Review
- Long-term risk of heart failure in patients with postoperative atrial fibrillation following non-cardiac surgery: Insights from a nationwide cohort.European journal of heart failure · 2025Article
- Predictors and prognosis of elderly hip fracture patients with perioperative atrial fibrillation: a nested case-control study.BMC geriatrics · 2025Article
- A novel nomogram prediction model for postoperative atrial fibrillation in patients undergoing laparotomy.Perioperative medicine (London, England) · 2024Article
31 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundAlthough major noncardiac surgery is common, few large-scale studies have examined the incidence and consequences of post-operative atrial fibrillation (POAF) in this population. We sought to define the incidence of POAF and its impact on outcomes after major noncardiac surgery.
methodsUsing administrative data, we retrospectively reviewed the hospital course of adults who underwent major noncardiac surgery at 375 US hospitals over a 1-year period. Clinically significant POAF was defined as atrial fibrillation occurring during hospitalization that necessitated therapy.
resultsOf 370,447 patients, 10,957 (3.0%) developed clinically significant POAF while hospitalized. Of patients with POAF, 7,355 (67%) appeared to have pre-existing atrial fibrillation and 3,602 (33%) had newly diagnosed atrial fibrillation. Black patients had a lower risk of POAF (adjusted odds ratio, 0.53; 95% CI, 0.48-0.59; P < .001). Patients with POAF had higher mortality (adjusted odds ratio, 1.72; 95% CI, 1.59-1.86; P < .001), markedly longer length of stay (adjusted relative difference, +24.0%; 95% CI, +21.5% to +26.5%; P < .001), and higher costs (adjusted difference, +$4,177; 95% CI, +$3,764 to +$4,590; P < .001). These findings did not differ by whether POAF was a recurrence of pre-existing atrial fibrillation, or a new diagnosis.
conclusionPOAF following noncardiac surgery is not uncommon and is associated with increased mortality and cost. Our study identifies risk factors for POAF, which appear to include race. Strategies are needed to not only prevent new POAF, but also improve management of patients with pre-existing atrial fibrillation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.