Evidence map›Paper›PMID 36921155›Full record

ReviewArquivos brasileiros de cardiologia2023

Atrial Fibrillation and Sepsis in Elderly Patients and Their Associaton with In-Hospital Mortality.

Michele Ouriques Honorato, Juscelio Trajano de Sousa Filho, Luiz Frederico Bezerra Honorato Junior, Nathalia Watanabe, Gabriela Machado Goulart, Rogério Ruscitto do Prado

Open access · diamondAbstract readReview
In one paragraph

Review in Arquivos brasileiros de cardiologia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Brazilian Atrial Fibrillation Guidelines - 2025.Arquivos brasileiros de cardiologia · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Cardiovascular Statistics - Brazil 2023.Arquivos brasileiros de cardiologia · 2024
    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 2 institutions in 2 countries.

Michele Ouriques HonoratoHospital Sírio-libanês, São Paulo, SP - Brasil.ORCID 0000-0002-3295-8331
Juscelio Trajano de Sousa FilhoHospital Sírio-libanês, São Paulo, SP - Brasil.
Luiz Frederico Bezerra Honorato JuniorHospital Sírio-libanês, São Paulo, SP - Brasil.
Nathalia WatanabeHospital Sírio-libanês, São Paulo, SP - Brasil.ORCID 0000-0003-0865-8803
Gabriela Machado GoulartUniversidade do Extremo Sul Catarinense Curso de Medicina, Criciúma, SC - Brasil.
Rogério Ruscitto do PradoHospital Israelita Albert Einstein, São Paulo, SP - Brasil.
Al-Azhar University · IDHospital Israelita Albert Einstein · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) affects about 2% to 4% of the world population, and in patients hospitalized in intensive care units, this incidence can reach up to 23% in those with septic shock. The impact of AF in patients with sepsis is reflected in worse clinical outcomes, and the identification of the triggering factors can be a target for future prevention and treatment strategies.

objectivesTo verify the relationship between the development of AF and mortality in patients over 80 years of age included in the sepsis protocol and to identify the risk factors that contribute to the development of AF in this population.

methodsRetrospective observational study, with a review of electronic medical records and inclusion of 895 patients aged 80 years or older, included in the sepsis protocol of a high-complexity private hospital in São Paulo, SP, from January 2018 to December 2020. All tests were performed with a significance level of 5%.

resultsThe incidence of AF in the sample was 13%. After multivariate analysis, using multiple logistic regression, it was possible to demonstrate an association of mortality, in the studied population, with the SOFA score (odds ratio [OR] 1.21 [1.09 - 1.35]), higher values of C-reactive protein (OR 1.04 [1.01 - 1.06]), need for vasoactive drugs (OR 2.4 [1.38 - 4.18]), use of mechanical ventilation (OR 3.49 [1.82 - 6.71]), and mainly AF (OR 3.7 [2.16 - 6.31]).

conclusionIn very elderly patients (80 years of age and older) with sepsis, the development of AF was shown to be an independent risk factor for in-hospital mortality.

Indexed as

Atrial FibrillationSepsisAgedAged, 80 and overBrazilHospital MortalityHumansIntensive Care UnitsObservational Studies as TopicRetrospective StudiesRisk Factors

Identifiers

PMID36921155
PMCPMC9972940
OpenAlexW4322581187

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.