Evidence map›Paper›PMID 24723004›Full record

ArticleChest2014

Long-term outcomes following development of new-onset atrial fibrillation during sepsis.

Allan J Walkey, Bradley G Hammill, Lesley H Curtis, Emelia J Benjamin

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Chest, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05151523 (Long-term Recurrence Rates of Atrial Fibrillation Following New-onset Atrial Fibrillation During ICU Admission), which is not on this map. Cited by 146 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 8 pooled it
9.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05151523 not yet recruitingnot on this mapstarted 2022, after this paper: background citation

Long-term Recurrence Rates of Atrial Fibrillation Following New-onset Atrial Fibrillation During ICU Admission

Typeobservational_patient_registrySponsorKatia OrvinRan2022 to 2026Enrolled100ConditionsAtrial Fibrillation
3 · Its place in the literature

Who cites it

146 citing papers in PubMed, 8 syntheses or guidelines pooled it, 245 citations in OpenAlex.

  1. Pooled it
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  9. Clinical subtypes and prognosis of new-onset atrial fibrillation in critically ill patients.International journal of cardiology. Cardiovascular risk and prevention · 2026
    Article
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  17. Anticoagulation and thromboembolic risk in critically ill patients with trigger-induced atrial fibrillation-A systematic review and meta-analysis.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2025
    Review
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86 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Allan J WalkeyFrom the Pulmonary Center and the Section of Pulmonary and Critical Care Medicine, Boston University School of Public Health, Boston, MA. Electronic address: alwalkey@bu.edu.
Bradley G HammillSections of Cardiovascular Medicine and Preventive Medicine, Department of Medicine, and the Department of Epidemiology, Boston University School of Public Health, Boston, MA.
Lesley H CurtisSections of Cardiovascular Medicine and Preventive Medicine, Department of Medicine, and the Department of Epidemiology, Boston University School of Public Health, Boston, MA.
Emelia J BenjaminDuke Clinical Research Institute, Department of Medicine, Duke University School of Medicine, Durham, NC.
Boston University · USDuke University · US

Funding

PRECURSORS OF STROKE INCIDENCE AND PROGNOSISR01NS017950 · NINDS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Hugo Javier Aparicio, Jose Rafael Romero · 1985 to 2026
$22.9M
IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
Patterns of Health Care Use, Treatment & Outcomes in Atrial Fibrillation: PATH-AFR01HL102214 · NHLBI · DUKE UNIVERSITY · PI BENJAMIN, EMELIA J., CURTIS, LESLEY H · 2010 to 2012
$1.4M
Atrial Fibrillation in Sepsis: Patient Outcomes and Provider Practice PatternsK01HL116768 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WALKEY, ALLAN J. · 2013 to 2017
$742k
NHLBI NIH HHS K01 HL116768NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL102214NINDS NIH HHS R01 NS017950NINDS NIH HHS R01NS17950
6 · The paper itself

Abstract

backgroundNew-onset atrial fibrillation (AF) is associated with adverse outcomes during a sepsis hospitalization; however, long-term outcomes following hospitalization with sepsis-associated new-onset AF are unclear.

methodsWe used a Medicare 5% sample to identify patients who survived hospitalization with sepsis between 1999 and 2010. AF status was defined as no AF, prior AF, or new-onset AF based on AF claims during and prior to a sepsis hospitalization. We used competing risk models to determine 5-year risks of AF occurrence, heart failure, ischemic stroke, and mortality after the sepsis hospitalization, according to AF status during the sepsis admission.

resultsWe identified 138,722 sepsis survivors, of whom 95,536 (69%) had no AF during sepsis, 33,646 (24%) had prior AF, and 9,540 (7%) had new-onset AF during sepsis. AF occurrence following sepsis hospitalization was more common among patients with new-onset AF during sepsis (54.9%) than in patients with no AF during sepsis (15.5%). Compared with patients with no AF during sepsis, those with new-onset AF during sepsis had greater 5-year risks of hospitalization for heart failure (11.2% vs 8.2%; multivariable-adjusted hazard ratio [HR], 1.25; 95% CI, 1.16-1.34), ischemic stroke (5.3% vs 4.7%; HR, 1.22; 95% CI, 1.10-1.36), and death (74.8% vs 72.1%; HR, 1.04; 95% CI,1.01-1.07).

conclusionsMost sepsis survivors with new-onset AF during sepsis have AF occur after discharge from the sepsis hospitalization and have increased long-term risks of heart failure, ischemic stroke, and death. Our findings may have implications for posthospitalization surveillance of patients with new-onset AF during a sepsis hospitalization.

Indexed as

AgedAged, 80 and overAtrial FibrillationElectrocardiographyFemaleFollow-Up StudiesHospitalizationHumansIncidenceMalePrognosisRetrospective StudiesRisk FactorsSepsisSurvival RateTime Factors

Identifiers

PMID24723004
PMCPMC4219336
OpenAlexW2053207109

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.