Evidence map›Paper›PMID 33624255›Full record

SynthesisCanadian journal of anaesthesia = Journal canadien d'anesthesie2021

Incidence and recurrence of new-onset atrial fibrillation detected during hospitalization for non-cardiac surgery: a systematic review and meta-analysis.

William F McIntyre, Maria E Vadakken, Anand S Rai, Terry Thach, Wajahat Syed, Kevin J Um, Omar Ibrahim, Shreyash Dalmia, Akash Bhatnagar, Pablo A Mendoza and 12 more

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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  14. Preoperative Stress Testing before Non-Cardiac Surgery.Reviews in cardiovascular medicine · 2023
    Review
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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

22 authors at 4 institutions in 2 countries.

William F McIntyrePopulation Health Research Institute, McMaster University, Hamilton, ON, Canada. William.McIntyre@phri.ca.ORCID http://orcid.org/0000-0001-6082-7542
Maria E VadakkenPopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
Anand S RaiPopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
Terry ThachFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Wajahat SyedFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Kevin J UmDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Omar IbrahimDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Shreyash DalmiaDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Akash BhatnagarPopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
Pablo A MendozaDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Alexander P BenzPopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
Shrikant I BangdiwalaPopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
Jessica SpencePopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
Graham R McClureDepartment of Surgery, McMaster University, Hamilton, ON, Canada.
Jessica T HuynhDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Tianyi ZhangPopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
Toru InamiDepartment of Cardiovascular Medicine, Nippon Medical School, Tokyo, Japan.
David ConenPopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
P J DevereauxPopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
Richard P WhitlockPopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
Jeff S HealeyPopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
Emilie P Belley-CôtéPopulation Health Research Institute, McMaster University, Hamilton, ON, Canada.
Population Health Research Institute · CAMcMaster University · CAImpact · CANippon Medical School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis systematic review aimed to summarize reports of the incidence and long-term recurrence of new-onset atrial fibrillation (AF) associated with non-cardiac surgery. SOURCES: We searched CENTRAL, MEDLINE and EMBASE from inception to November 2019. We included studies that reported on the incidence of new-onset perioperative AF during hospitalization for non-cardiac surgery and/or AF recurrence in such patients following discharge. Reviewers screened articles and abstracted data independently and in duplicate. We assessed study quality by appraising methodology for collecting AF history, incident AF during hospitalization, and AF recurrence after discharge. PRINCIPAL

findingsFrom 39,233 citations screened, 346 studies that enrolled a total of 5,829,758 patients met eligibility criteria. Only 27 studies used prospective, continuous inpatient electrocardiographic (ECG) monitoring to detect incident AF. Overall, the incidence of postoperative AF during hospitalization ranged from 0.004 to 50.3%, with a median [interquartile range] of 8.7 [3.8-15.0]%. Atrial fibrillation incidence varied with type of surgery. Prospective studies using continuous ECG monitoring reported significantly higher incidences of AF than those that did not (13.9% vs 1.9%, respectively; P < 0.001). A total of 13 studies (25,726 patients) with follow-up up to 5.4 years reported on AF recurrence following hospital discharge; only one study used a prospective systematic monitoring protocol. Recurrence rates ranged from 0 to 37.3%.

conclusionsRates of AF incidence first detected following non-cardiac surgery and long-term AF recurrence vary markedly. Differences in the intensity of ECG monitoring and type of surgery may account for this variation.

trial registrationPROSPERO (CRD42017068055); registered 1 September 2017.

Indexed as

Atrial FibrillationHumansIncidencePatient DischargeProspective StudiesRecurrenceatrial fibrillationperioperativereversiblesecondarystroketelemetry

Identifiers

PMID33624255
OpenAlexW3129459070

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.