Evidence map›Paper›PMID 31097854›Full record

Trial reportMedical archives (Sarajevo, Bosnia and Herzegovina)2019

Pharmacological Prophylaxis of Atrial Fibrillation After Surgical Myocardial Revascularization.

Enes Osmanovic, Miodrag Ostojic, Sevleta Avdic, Samed Djedovic, Adnan Delic, Nedzad Kadric, Amar Terzic, Azra Avdic-Salihovic

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Medical archives (Sarajevo, Bosnia and Herzegovina), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. 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

8 authors.

Enes OsmanovicHeart Center BH Tuzla, Tuzla, Bosnia and Herzegovina.
Miodrag OstojicSchool of Medicine University of Belgrade, Serbia.
Sevleta AvdicHeart Center BH Tuzla, Tuzla, Bosnia and Herzegovina.
Samed DjedovicHeart Center BH Tuzla, Tuzla, Bosnia and Herzegovina.
Adnan DelicPolyclinic Cardiocenter Sarajevo, Sarajevo, Bosnia and Herzegovina.
Nedzad KadricHeart Center BH Tuzla, Tuzla, Bosnia and Herzegovina.
Amar TerzicHeart Center BH Tuzla, Tuzla, Bosnia and Herzegovina.
Azra Avdic-SalihovicHeart Center BH Tuzla, Tuzla, Bosnia and Herzegovina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPostoperative Atrial Fibrillation (POAF) is associated with a higher rate of postoperative complications and mortality, as well as with longer hospitalization and increased treatment costs. We have designed and performed a randomized, trial of pharmacological prophylaxis in which the event of interest is POAF.

aimThe aim of this study is to reduce the risk of postoperative, complications associated with this arrhythmia.

methodsWe included 240 stable patients with a coronary heart disease, who were referred to elective surgical revascularization of the myocardium. The patients were assigned into three groups of 80 patients each: group A (BB, beta blocker, comparator), group B (BB+ Amiodarone) and group C (BB + Rosuvastatin). The goal was to establish whether intervention by combination therapy was more useful than a comparator.

resultsAn event of interest (POAF) has occurred in 66 of the total 240 patients. Number of new POAF cases is the lowest in Group B, 14 (17.5%) compared to 25 (31.25%) new cases in the comparator group, and 27 new cases (33.75%) in group C. Absolute risk reduction was 13.75%, ≈14% less POAF in group B compared to comparator. Relative risk reduction was 56% (RR 0.56, p = 0.04). Number Needed to Treat was 7.27. In group C, 33.75% of patients developed POAF. Absolute risk was insignificantly higher in group C (2.5%, NS) compared to the comparator .The number needed to harm was high, 40.

conclusionThe results of our research show that prophylaxis of POAF with combined therapy BB + Amiodarone was the most efficient one.

Indexed as

Adrenergic beta-AntagonistsAmiodaroneAnti-Arrhythmia AgentsAtrial FibrillationDrug Therapy, CombinationFemaleHumansMaleMiddle AgedMyocardial RevascularizationPostoperative ComplicationsRosuvastatin CalciumAdrenergic beta-AntagonistsAmiodaroneAnti-Arrhythmia AgentsRosuvastatin Calciumamiodaronecardiac surgerypostoperative atrial fibrillationprophylaxis

Identifiers

PMID31097854
PMCPMC6445624

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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.