Evidence map›Paper›PMID 32696468›Full record

SynthesisClinical cardiology2020

New-onset atrial fibrillation and outcomes following isolated coronary artery bypass surgery: A systematic review and meta-analysis.

Matthew Kerwin, Jonathan Saado, Jonathan Pan, Gorav Ailawadi, Sula Mazimba, Michael Salerno, Nishaki Mehta

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. Review
  7. Observational
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  13. Outcomes Following On-Pump Versus Of-Pump CABG: Apprising the "Bypassed".Brazilian journal of cardiovascular surgery · 2023
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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

7 authors at 2 institutions in 1 country.

Matthew KerwinDivision of Internal Medicine, University of Virginia, Charlottesville, Virginia, USA.ORCID https://orcid.org/0000-0001-9810-2141
Jonathan SaadoDivision of Internal Medicine, University of Virginia, Charlottesville, Virginia, USA.
Jonathan PanDivision of Internal Medicine, University of Virginia, Charlottesville, Virginia, USA.
Gorav AilawadiDivision of Cardiovascular Surgery, University of Virginia, Charlottesville, Virginia, USA.
Sula MazimbaDivision of Cardiovascular Medicine, University of Virginia, Charlottesville, Virginia, USA.
Michael SalernoDivision of Cardiovascular Medicine, University of Virginia, Charlottesville, Virginia, USA.
Nishaki MehtaDivision of Cardiovascular Medicine, University of Virginia, Charlottesville, Virginia, USA.
University of Virginia · USOakland University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prior meta-analyses have shown that new-onset atrial fibrillation (NOAF) occurs in up to 40% of patients following cardiac surgery and is associated with substantial major adverse cardiovascular events. The stroke and mortality implications of NOAF in isolated CABG without concomitant valve surgery is not known. We thought that NOAF would be associated with increased risk of stroke and mortality, even in patients undergoing isolated CABG. A blinded review of studies from MEDLINE, CENTRAL, and Web of Science was done by two independent investigators. Stroke, 30-day/hospital mortality, long-term cardiovascular mortality, and long-term (>1 year) all-cause mortality were analyzed. We used Review Manager Version 5.3 to perform pooled analysis of outcomes. Of 4461 studies identified, 19 studies (n = 129 628) met inclusion criteria. NOAF incidence ranged from 15% to 36%. NOAF was associated with increased risk of stroke (unadjusted OR 2.15 [1.82, 2.53] [P < .00001]; adjusted OR 1.88 [1.02, 3.46] [P = .04]). NOAF was associated with increased 30-day/hospital mortality (OR 2.35 [1.67, 3.32] [P < .00001]) and long-term cardiovascular mortality (OR 2.04 [1.35, 3.09] [P = .0007]) NOAF was associated with increased long-term all-cause mortality (unadjusted OR 1.79 [1.63, 1.96] [P < .00001]; adjusted OR 1.58 [1.24, 2.00] [P = .0002]). We found that the incidence of NOAF following isolated CABG is high and is associated with increased stroke rate and mortality. Early recognition and management of NOAF could improve outcomes.

Indexed as

Atrial FibrillationCoronary Artery BypassCoronary Artery DiseaseHospital MortalityHumansIncidenceRisk AssessmentRisk FactorsStrokeTime FactorsTreatment Outcomeatrial fibrillationcoronary artery bypass surgerypostoperative atrial fibrillationstroke

Identifiers

PMID32696468
PMCPMC7462196
OpenAlexW3045258021

What OpenQuestion holds

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LicenceCC BY
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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.