ArticlePloS one2015
CHADS2 and CHA2DS2-VASc scoring systems for predicting atrial fibrillation following cardiac valve surgery.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Perioperative Biomarkers Predicting Postoperative Atrial Fibrillation Risk After Coronary Artery Bypass Grafting: A Narrative Review.Journal of cardiothoracic and vascular anesthesia · 2020Pooled it
- Surgical left atrial appendage occlusion in valvular heart disease without atrial fibrillation: the OPINION trial.European heart journal · 2026Trial
- Risks and Prognostic Implications of Pericardial Disease and Atrial Fibrillation after Cardiac Surgery.Current cardiology reports · 2025Review
- Development and internal validation of an OPCABG-specific prediction model for postoperative atrial fibrillation in Chinese patients: a retrospective cohort study.BMC cardiovascular disorders · 2025Article
- Scores predicting atrial fibrillation after mitral valve surgery: Do we need a more specific score?Journal of arrhythmia · 2024Article
- Postoperative atrial fibrillation (POAF) after cardiac surgery: clinical practice review.Journal of thoracic disease · 2024Review
- The CHALife (Basel, Switzerland) · 2023Article
- The Prediction Model of Medical Expenditure Appling Machine Learning Algorithm in CABG Patients.Healthcare (Basel, Switzerland) · 2021Article
- Machine-Learning Techniques for Feature Selection and Prediction of Mortality in Elderly CABG Patients.Healthcare (Basel, Switzerland) · 2021Article
- Development and Validation of A Simple Clinical Risk Prediction Model for New-Onset Postoperative Atrial Fibrillation After Cardiac Surgery: Nopaf Score.Journal of atrial fibrillation · 2020Article
- RNAs and Gene Expression Predicting Postoperative Atrial Fibrillation in Cardiac Surgery Patients Undergoing Coronary Artery Bypass Grafting.Journal of clinical medicine · 2020Review
- The CHA2DS2-VASc score for predicting atrial fibrillation in patients presenting with ST elevation myocardial infarction: prospective observational study.Sao Paulo medical journal = Revista paulista de medicina · 2019Observational
- New-Onset Atrial Fibrillation in Adult Patients After Cardiac Surgery.Current anesthesiology reports · 2019Article
- CHADSJournal of atherosclerosis and thrombosis · 2017Article
- Premature atrial stimulation accentuates conduction abnormalities in cardiac surgery patients that develop postoperative atrial fibrillation.Journal of electrocardiologyArticle
- An Evaluation of Four Predictive Scores for New Onset Atrial Fibrillation After Cardiac Surgery in a Tertiary Cardiac Centre.ANZ journal of surgeryArticle
- New combined risk score to predict atrial fibrillation after cardiac surgery: COM-AF.Annals of cardiac anaesthesiaArticle
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveClinical use of CHADS2 and CHA2DS2-VASc scoring systems for predicting AF following cardiac surgery have been reported in previous studies and demonstrated well-validated predictive value. We sought to investigate whether the two scoring systems are effective for predicting new-onset of AF following cardiac valve surgery and to demonstrate its potential utility of clinical assessment.
methodsMedical records of all patients underwent cardiac valve surgeries during the period of January 2003 and December 2013 without preoperative AF at the cardiac center of our university were reviewed. The main outcome end point of our study was the early new-onset of AF following cardiac valve surgery.
resultsThere were overall 518 patients involved in this study, with 234 (45.17%) developed POAF following valve surgery. Patients with POAF had older age (P=0.23) and higher BMI (P=0.013) than those without POAF. History of heart failure (P=0.025), hypertension (P=0.021), previous stroke or TIA (P=0.032), coronary artery disease (P=0.001), carotid artery disease (P=0.024) and preoperative medication of statins (P=0.021) were significantly more recorded in POAF group. Patients with POAF also had higher LAD (P=0.013) and E/e' ratio (P<0.001). The CHADS2 and CHA2DS2-VASc scores were significantly higher in patients with POAF (P=0.002; P<0.001), and under univariate and multivariate regression analysis the CHADS2 and CHA2DS2-VASc scores were significant predictors of POAF (P=0.001; P<0.001). Based on stratification of CHADS2 and CHA2DS2-VASc scores, the Kaplan-Meier analysis obtained a higher POAF rate on patients with higher stratification of CHADS2 and CHA2DS2-VASc scores (P<0.001; P<0.001).
conclusionIn conclusion, CHADS2 and CHA2DS2-VASc scores were directly associated with the incidence of POAF following valve surgery and a higher score was strongly predictive of POAF.
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