Evidence map›Paper›PMID 27203271›Full record

Trial reportThe Journal of cardiovascular nursing

Symptom Clusters in Adults With Chronic Atrial Fibrillation.

Megan Streur, Sarah J Ratcliffe, Jocasta Ball, Simon Stewart, Barbara Riegel

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Atrial Fibrillation Symptom Perception.The journal for nurse practitioners : JNP · 2019
    Article
  12. Article
  13. Article
  14. Symptom challenges after atrial fibrillation ablation.Heart & lung : the journal of critical care
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Megan StreurMegan Streur, RN, MN Doctoral Student, School of Nursing, University of Pennsylvania, Philadelphia. Sarah J. Ratcliffe, PhD Associate Professor, Division of Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia. Jocasta Ball, PhD Postdoctoral Research Fellow, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia. Simon Stewart, PhD, RN Professor, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia. Barbara Riegel, PhD, RN Professor, School of Nursing, University of Pennsylvania, Philadelphia.
Sarah J Ratcliffe
Jocasta Ball
Simon Stewart
Barbara Riegel
University of Pennsylvania · US

Funding

Individualized Care for At Risk Older AdultsT32NR009356 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo, MARY D NAYLOR · 2007 to 2026
$7.8M
Atrial fibrillation symptom perceptionF31NR015687 · NINR · UNIVERSITY OF PENNSYLVANIA · PI STREUR, MEGAN · 2015 to 2015
$37k
NINR NIH HHS F31 NR015687NINR NIH HHS T32 NR009356
6 · The paper itself

Abstract

backgroundSymptom clusters have not previously been explored among individuals with atrial fibrillation of any type.

objectiveThe purpose of this study is to determine the number of symptom clusters present among adults with chronic atrial fibrillation and to explore sociodemographic and clinical factors potentially associated with cluster membership.

methodsThis was a cross-sectional secondary data analysis of 335 Australian community-dwelling adults with chronic (recurrent paroxysmal, persistent, or permanent) atrial fibrillation. We used self-reported symptoms and agglomerative hierarchical cluster analysis to determine the number and content of symptom clusters present.

resultsThere were slightly more male (52%) than female participants, with a mean (SD) age of 72 (11.25) years. Three symptom clusters were evident, including a vagal cluster (nausea and diaphoresis), a tired cluster (fatigue/lethargy, weakness, syncope/dizziness, and dyspnea/breathlessness), and a heart cluster (chest pain/discomfort and palpitations/fluttering). We compared patient characteristics among those with all the symptoms in the cluster, those with some of the symptoms in the cluster, and those with none of the symptoms in the cluster. The only statistically significant differences were in age, gender, and the use of antiarrhythmic medications for the heart cluster. Women were more likely to have the heart symptom cluster than men were. Individuals with all of the symptoms in the heart cluster were younger (69.6 vs 73.7 years; P = .029) than those with none of the symptoms in the heart cluster and were more likely to be on antiarrhythmic medications.

conclusionThree unique atrial fibrillation symptom clusters were identified in this study population.

Indexed as

Symptom AssessmentAdultAgedAged, 80 and overAtrial FibrillationAustraliaChronic DiseaseCluster AnalysisCross-Sectional StudiesFemaleHumansMaleMiddle AgedSocioeconomic Factors

Identifiers

PMID27203271
PMCPMC5116287
OpenAlexW2397647814

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.