Evidence map›Paper›PMID 28127215›Full record

ArticleJournal of the Saudi Heart Association2017

Use of short-term steroids in the prophylaxis of atrial fibrillation after cardiac surgery.

Zeyad Al-Shawabkeh, Khalid Al-Nawaesah, Razi Abu Anzeh, Hael Al-Odwan, Wasfi Azyoud Bashar Al-Rawashdeh, Haetham Altaani

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Journal of the Saudi Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05674253 (Combined Use of Dexmedetomidine and Hydrocortisone to Prevent New Onset Atrial Fibrillation After Coronary Artery Bypass Grafting Surgery), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% 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.

NCT05674253 early_phase1unknown statusnot on this mapstarted 2022, after this paper: background citation

Combined Use of Dexmedetomidine and Hydrocortisone to Prevent New Onset Atrial Fibrillation After Coronary Artery Bypass Grafting Surgery

TypeinterventionalSponsorAin Shams UniversityRan2022 to 2023Enrolled248ConditionsAtrial Fibrillation New OnsetArmsDexmedetomidine + Hydrocortisone
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Zeyad Al-ShawabkehDepartment of Cardiac Surgery, Queen Alia Heart Institute, Amman, aJordan.
Khalid Al-NawaesahDepartment of Cardiac Surgery, Queen Alia Heart Institute, Amman, aJordan.
Razi Abu AnzehDepartment of Cardiac Surgery, Queen Alia Heart Institute, Amman, aJordan.
Hael Al-OdwanDepartment of Cardiac Anaesthesia, Queen Alia Heart Institute, Amman, bJordan.
Wasfi Azyoud Bashar Al-RawashdehDepartment of Cardiac Surgery, Queen Alia Heart Institute, Amman, aJordan.
Haetham AltaaniDepartment of Cardiac Surgery, Queen Alia Heart Institute, Amman, aJordan.
National Heart Institute · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the effectiveness of corticosteroids in the prophylaxis of postoperative atrial fibrillation (AF) in patients undergoing elective coronary artery bypass grafting or valvular heart surgery in terms of reducing its incidence and decreasing the length of hospital stay.

methodsThis prospective double blinded randomized study was conducted at Queen Alia Heart Institute (Amman, Jordan) from June 2014 to June 2015 on 340 patients who underwent their first on-pump elective coronary artery bypass grafting (CABG) alone or combined with valvular surgery. Inclusion criteria consisted of elective first time CABG or combined with valvular surgery, use of β-adrenergic blockade, and normal sinus rhythm. Exclusion criteria included a history of heart block, previous episodes of AF or flutter, uncontrolled diabetes mellitus, history of peptic ulcer disease, systemic bacterial or mycotic infection, permanent pacemaker, and any documented or suspected supraventricular or ventricular arrhythmias. Patients were randomized into two equal groups (

resultsAF developed in 21.1% (36 patients) in the treatment group in contrast to 38.2% (65 patients) in the control group (

conclusionProphylactic short-term use of steroids both intraoperatively and postoperatively proved to be safe and effective in reducing the incidence of postoperative AF in patients undergoing CABG alone or combined with valve surgery.

Indexed as

Atrial fibrillation, Complications, Corticosteroids, Postoperative, Prophylaxis

Identifiers

PMID28127215
PMCPMC5247295
OpenAlexW2319812637

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.