Evidence map›Paper›PMID 33855639›Full record

SynthesisJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2021

Pre-existing atrial fibrillation is associated with increased mortality in COVID-19 Patients.

Marco Zuin, Gianluca Rigatelli, Claudio Bilato, Francesco Zanon, Giovanni Zuliani, Loris Roncon

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
6.1field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Are Pre-Hospitalization ECG Abnormalities Associated With Increased Mortality in COVID-19 Patients? A Quantitative Systematic Literature Review.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Review
  7. New-Onset, But Not Chronic Atrial Fibrillation, Is a Significant Factor Contributing to Mortality Among Patients with Severe COVID-19.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

6 authors at 3 institutions in 1 country.

Marco ZuinDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.ORCID https://orcid.org/0000-0002-4559-1292
Gianluca RigatelliDepartment of Specialistic Medicine, Division of Cardiology, Santa Maria della Misericordia Hospital, Viale Tre Martiri, 45100, Rovigo, Italy.ORCID https://orcid.org/0000-0002-7318-3640
Claudio BilatoDivision of Cardiology, West Vicenza General Hospitals, Arzignano, Vicenza, Italy.
Francesco ZanonArrhythmia and Electrophysiology Unit, Department of Cardiology, Rovigo General Hospital, Rovigo, Italy.
Giovanni ZulianiDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.
Loris RonconDepartment of Specialistic Medicine, Division of Cardiology, Santa Maria della Misericordia Hospital, Viale Tre Martiri, 45100, Rovigo, Italy. lorisroncon@gmail.com.ORCID http://orcid.org/0000-0001-9164-9160
Ospedale Santa Maria della Misericordia di Rovigo · ITUniversity of Ferrara · ITInternational Renal Research Institute of Vicenza · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe impacts of pre-existing atrial fibrillation (AF) on COVID-19-associated outcomes are unclear. We conducted a systematic review and meta-analysis to investigate the pooled prevalence of pre-existing AF and its short-term mortality risk in COVID-19 patients.

methodsPreferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed in abstracting data and assessing validity. We searched MEDLINE and Scopus to locate all the articles published up to January 31, 2021, reporting data on pre-existing AF among COVID-19 survivors and non-survivors. The pooled prevalence of pre-existing AF was calculated using a random effects model and presenting the related 95% confidence interval (CI), while the mortality risk was estimated using the Mantel-Haenszel random effects models with odds ratio (OR) and related 95% CI. Statistical heterogeneity was measured using the Higgins I

resultsTwelve studies, enrolling 15.562 COVID-19 patients (mean age 71.6 years), met the inclusion criteria and were included in the final analysis. The pooled prevalence of pre-existing AF was 11.0% of cases (95% CI: 7.8-15.2%, p < 0.0001) with high heterogeneity (I

conclusionPre-existing AF is present in about 11% of COVID-19 cases but results associated with an increased risk of short-term mortality.

Indexed as

Atrial FibrillationCOVID-19AgedHumansOdds RatioPrevalenceSARS-CoV-2Atrial fibrillationCOVID-19MortalityPrevalence

Identifiers

PMID33855639
PMCPMC8046494
OpenAlexW3154864829

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.