Evidence map›Paper›PMID 30071562›Full record

SynthesisThe Thoracic and cardiovascular surgeon2019

Clinical Risk Factors for Postoperative Atrial Fibrillation among Patients after Cardiac Surgery.

Kennosuke Yamashita, Nan Hu, Ravi Ranjan, Craig H Selzman, Derek J Dosdall

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Thoracic and cardiovascular surgeon, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07755072 (The Effect of Ligament of Marshall Excision During Minimally Invasive Cardiac Surgery-Coronary Artery Bypass Grafting), which is not on this map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 6% 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.

NCT07755072 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Effect of Ligament of Marshall Excision During Minimally Invasive Cardiac Surgery-Coronary Artery Bypass Grafting (MICS-CABG) on the Prevention of Postoperative New-Onset Atrial Fibrillation: A Multicenter, Prospective, Randomized, Triple-Blinded Study

TypeinterventionalSponsorPeking University Third HospitalRan2026 to 2028Enrolled628ConditionsPostoperative Atrial FibrillationArmsMICS-CABG combined with excision of the Ligament of Marshall
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  5. Article
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  7. Review
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  11. Brazilian Atrial Fibrillation Guidelines - 2025.Arquivos brasileiros de cardiologia · 2025
    Article
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  13. Review
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  15. Observational
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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

5 authors at 2 institutions in 1 country.

Kennosuke YamashitaNora Eccles Harrison Cardiovascular Research and Training Institute, University of Utah, Salt Lake City, Utah, United States.
Nan HuHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, United States.
Ravi RanjanNora Eccles Harrison Cardiovascular Research and Training Institute, University of Utah, Salt Lake City, Utah, United States.
Craig H SelzmanNora Eccles Harrison Cardiovascular Research and Training Institute, University of Utah, Salt Lake City, Utah, United States.
Derek J DosdallNora Eccles Harrison Cardiovascular Research and Training Institute, University of Utah, Salt Lake City, Utah, United States.
University of Utah · USHuntsman Cancer Institute · US

Funding

University of Utah Center for Clinical and Translational ScienceUL1TR001067 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$19.8M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
His-Purkinje Pacing for Low Energy Implantable Cardioverter DefibrillatorsR01HL128752 · NHLBI · UNIVERSITY OF UTAH · PI DOSDALL, DEREK J · 2015 to 2024
$5.0M
MRI-based visualization and acute targeting of gaps in atrial ablation lesionsK23HL115084 · NHLBI · UNIVERSITY OF UTAH · PI RANJAN, RAVI · 2012 to 2016
$754k
Myocardial Substrate Driven Mechanistic Insights Into Atrial FibrillationR56HL128674 · NHLBI · UNIVERSITY OF UTAH · PI RANJAN, RAVI · 2016 to 2016
$575k
NCATS NIH HHS UL1 TR000105NCATS NIH HHS UL1 TR001067NCRR NIH HHS UL1 RR025764NHLBI NIH HHS K23 HL115084NHLBI NIH HHS R01 HL128752NHLBI NIH HHS R56 HL128674
6 · The paper itself

Abstract

backgroundPostoperative atrial fibrillation (POAF) is a common arrhythmia following cardiac surgery and is associated with increased health-care costs, complications, and mortality. The etiology of POAF is incompletely understood and its prediction remains suboptimal. Using data from published studies, we performed a systemic review and meta-analysis to identify preoperative clinical risk factors associated with patients at increased risk of POAF.

methodsA systematic search of PubMed, MEDLINE, and EMBASE databases was performed.

resultsTwenty-four studies that reported univariate analysis results regarding POAF risk factors, published from 2001 to May 2017, were included in this meta-analysis with a total number of 36,834 subjects. Eighteen studies were performed in the United States and Europe and 16 studies were prospective cohort studies. The standardized mean difference (SMD) between POAF and non-POAF groups was significantly different (reported as [SMD: 95% confidence interval, CI]) for age (0.55: 0.47-0.63), left atrial diameter (0.45: 0.15-0.75), and left ventricular ejection fraction (0.30: 0.14-0.47). The pooled odds ratios (ORs) (reported as [OR: 95% CI]) demonstrated that heart failure (1.56: 1.31-1.96), chronic obstructive pulmonary disease (1.36: 1.13-1.64), hypertension (1.29: 1.12-1.48), and myocardial infarction (1.18: 1.05-1.34) were significant predictors of POAF incidence, while diabetes was marginally significant (1.06: 1.00-1.13).

conclusionThe present analysis suggested that older age and history of heart failure were significant risk factors for POAF consistently whether the included studies were prospective or retrospective datasets.

Indexed as

Age FactorsAtrial FibrillationCardiac Surgical ProceduresComorbidityFemaleHeart FailureHumansIncidenceMaleRisk AssessmentRisk FactorsTreatment Outcome

Identifiers

PMID30071562
PMCPMC6359984
OpenAlexW2886619272

What OpenQuestion holds

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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.