Evidence map›Paper›PMID 31089761›Full record

ArticleIntensive care medicine2019

New-onset atrial fibrillation in adult critically ill patients: a scoping review.

Mik Wetterslev, Nicolai Haase, Christian Hassager, Emilie P Belley-Cote, William F McIntyre, Youzhong An, Jiawei Shen, Alexandre Biasi Cavalcanti, Fernando G Zampieri, Helio Penna Guimaraes and 3 more

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 5 pooled it
8.9field-weighted citation impact, top 2% 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

74 citing papers in PubMed, 5 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Guideline
  6. Anaesthetic Techniques for Cardiac Ablation-A Scoping Review.Acta anaesthesiologica Scandinavica · 2026
    Article
  7. 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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  11. A prospective, multi-site, observational study assessing the treatment thresholds of new onset atrial fibrillation in the critically ill.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
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  15. Epidemiology and pharmacological management of new onset atrial fibrillation in critically ill adults: A multicentre observational study.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
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14 more citing papers are in PubMed but not listed here.

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

13 authors at 4 institutions in 4 countries.

Mik WetterslevDepartment of Intensive Care, 4131, Copenhagen University Hospital, Rigshospitalet, 2100, Copenhagen, Denmark. m.r.wetterslev@gmail.com.ORCID 0000-0002-8798-1133
Nicolai HaaseDepartment of Intensive Care, 4131, Copenhagen University Hospital, Rigshospitalet, 2100, Copenhagen, Denmark.
Christian HassagerDepartment of Cardiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Emilie P Belley-CotePopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
William F McIntyrePopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
Youzhong AnDepartment of Critical Care Medicine, Peking University People's Hospital, Beijing, China.
Jiawei ShenDepartment of Critical Care Medicine, Peking University People's Hospital, Beijing, China.
Alexandre Biasi CavalcantiResearch Institute, HCor-Hospital Do Coração, São Paulo, Brazil.
Fernando G ZampieriResearch Institute, HCor-Hospital Do Coração, São Paulo, Brazil.
Helio Penna GuimaraesResearch Institute, HCor-Hospital Do Coração, São Paulo, Brazil.
Anders GranholmDepartment of Intensive Care, 4131, Copenhagen University Hospital, Rigshospitalet, 2100, Copenhagen, Denmark.
Anders PernerDepartment of Intensive Care, 4131, Copenhagen University Hospital, Rigshospitalet, 2100, Copenhagen, Denmark.
Morten Hylander MøllerDepartment of Intensive Care, 4131, Copenhagen University Hospital, Rigshospitalet, 2100, Copenhagen, Denmark.
Copenhagen University Hospital · DKHospital do Coração · BRPeking University · CNPopulation Health Research Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNew-onset atrial fibrillation (NOAF) is common and associated with increased morbidity and mortality. However, its clinical importance and management in critically ill patients are not well described. The aim of this scoping review is to assess the epidemiology and management strategies of NOAF during critical illness.

methodThe review was conducted in accordance with the PRISMA extension for scoping reviews. We searched PubMed, EMBASE and the Cochrane Library for studies assessing the incidence, outcome and management strategies of NOAF in adult critically ill patients. The quality of evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.

resultsA total of 99 studies were included, of which 79 were observational and 20 were interventional. The incidence of NOAF varied from 1.7% to 43.9% with considerable inter-population variation (very low quality of evidence). Commonly identified risk factors for NOAF included higher age, cardiovascular comorbidities and sepsis. The occurrence of NOAF was associated with adverse outcomes, including stroke, prolonged length of stay and mortality (very low quality of evidence). We found limited data on the optimal management strategy with no evidence for firm benefit or harm for any intervention (very low/low quality of evidence).

conclusionsThe definition and incidence of NOAF in critically ill patients varied considerably and many risk factors were identified. NOAF seemed to be associated with adverse outcomes, but data were very limited and current management strategies are not evidence-based.

Indexed as

Age FactorsAtrial FibrillationCardiovascular AgentsCardiovascular DiseasesComorbidityCritical IllnessElectrocardiographyHematologic TestsHospitalizationHumansIncidenceLength of StayRisk FactorsSepsisSeverity of Illness IndexSex FactorsCardiovascular AgentsArrhythmiasAtrial fibrillationCardiacCritical illnessIntensive care unitsMortalityReviewRisk factorsStrokeTachycardiaThromboembolism

Identifiers

PMID31089761
OpenAlexW2945387755

What OpenQuestion holds

Textmetadata
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.