Evidence map›Paper›PMID 34285872›Full record

ArticleJournal of the Saudi Heart Association2021

Is Atrial Fibrillation a Risk Factor for Worse Outcomes in Severe COVID-19 Patients: A Single Center Retrospective Cohort.

Abdulkarim Abdulrahman, Tajammul Hussain, Safraz Nawaz, Shereen AlShaikh, Abdulrahman Almadani, Fawaz Bardooli

Open access · diamondAbstract read
In one paragraph

Article in Journal of the Saudi Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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
  4. Article
  5. Review
  6. COVID-19 HEART unveiling as atrial fibrillation: pathophysiology, management and future directions for research.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2023
    Review
  7. Article
  8. Does new onset and pre-existing atrial fibrillation predict mortality in COVID-19 patients?The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2022
    Article
  9. Article
  10. Incidence and Clinical Outcomes of New-Onset Atrial Fibrillation in Critically lll Patients with COVID-19: A Multicenter Cohort Study - New-Onset Atrial Fibrillation and COVID-19.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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.

Abdulkarim AbdulrahmanMohammed Bin Khalifa Cardiac Centre, Riffa, Bahrain.
Tajammul HussainMohammed Bin Khalifa Cardiac Centre, Riffa, Bahrain.
Safraz NawazMohammed Bin Khalifa Cardiac Centre, Riffa, Bahrain.
Shereen AlShaikhMohammed Bin Khalifa Cardiac Centre, Riffa, Bahrain.
Abdulrahman AlmadaniBahrain Defense Force Hospital and Royal Medical Services, Riffa, Bahrain.
Fawaz BardooliMohammed Bin Khalifa Cardiac Centre, Riffa, Bahrain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNew onset atrial fibrillation leads to worse outcomes in patients with sepsis. The association between new onset atrial fibrillation (AF) in COVID19 patients with COVID19 outcomes are lacking. This study aims to determine whether new onset atrial fibrillation in COVID19 patients admitted in the ICU is a risk factor for death or requirement of mechanical ventilation (MV).

methodsThis is a retrospective study conducted in a cohort of COVID-19 patients admitted to Bahrain Defence Force COVID19 Field ICU between April 2020 to November 2020. Data were extracted from the electronic medical records. The patients who developed new onset AF during admission were compared to patients who remained in sinus rhythm. Multivariate logistic regression models were used to control for confounders and estimate the effect of AF on the outcomes of these patients.

resultsOur study included a total of 492 patients out of which 30 were diagnosed with new onset AF. In the AF group, the primary outcome occurred in 66.7% of patients (n = 20). In the control group, 17.1% (n = 79) developed the primary outcome. Upon adjusting for the confounders in the multivariate regression model, AF had an odds ratio of 3.96 (95% CI: 1.05-14.98; p = 0.042) for the primary outcome.

conclusionOur results indicate that new onset AF is a risk factor for worse outcomes in patients admitted with COVID19 in the ICU.

Indexed as

arrythmiaatrial arrythmiaAtrial fibrillationBahrainCorona virusCOVID-19Critical CareICUSars-CoV2

Identifiers

PMID34285872
PMCPMC8274695
OpenAlexW3182973394

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.