Evidence map›Paper›PMID 37776213›Full record

SynthesisJournal of the American Heart Association2023

Differences in Postoperative Atrial Fibrillation Incidence and Outcomes After Cardiac Surgery According to Assessment Method and Definition: A Systematic Review and Meta-Analysis.

Roberto Perezgrovas-Olaria, Talal Alzghari, Mohammed Rahouma, Arnaldo Dimagli, Lamia Harik, Giovanni J Soletti, Kevin R An, Tulio Caldonazo, Hristo Kirov, Gianmarco Cancelli and 9 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.3field-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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Improving atrial fibrillation or flutter detection and management by smartphone-based photoplethysmography rhythm monitoring following cardiac surgery: a pragmatic randomized trial.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
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  17. Atrial Fibrillation Prediction Model Following Aortic Valve Replacement Surgery.Journal of cardiovascular development and disease · 2025
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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

19 authors at 4 institutions in 4 countries.

Roberto Perezgrovas-OlariaDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.ORCID 0000-0002-3823-8861
Talal AlzghariDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.ORCID 0000-0001-9522-0038
Mohammed RahoumaDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.ORCID 0000-0002-8678-2060
Arnaldo DimagliDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.
Lamia HarikDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.
Giovanni J SolettiDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.ORCID 0000-0002-8691-5951
Kevin R AnDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.ORCID 0000-0002-9184-4510
Tulio CaldonazoDepartment of Cardiothoracic Surgery Friedrich Schiller University Jena Jena Germany.
Hristo KirovDepartment of Cardiothoracic Surgery Friedrich Schiller University Jena Jena Germany.ORCID 0000-0001-5886-3472
Gianmarco CancelliDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.ORCID 0000-0002-3553-4585
Katia AudisioDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.
Mohammad YaghmourDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.ORCID 0009-0006-2570-3935
Hillary PolkDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.
Rajbir ToorDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.
Swetha SathiDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.ORCID 0009-0003-2668-3882
Michelle DemetresSamuel J. Wood Library and C.V. Starr Biomedical Information Centre, Weill Cornell Medicine New York NY USA.ORCID 0000-0002-4997-7707
Leonard N GirardiDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.
Giuseppe Biondi-ZoccaiDepartment of Medical-Surgical Sciences and Biotechnologies Sapienza University of Rome Latina Italy.
Mario GaudinoDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.ORCID 0000-0003-4680-0815
Cornell University · USFriedrich Schiller University Jena · DEClinica Mediterranea · ITUniversity of Toronto · CA

Funding

Multidisciplinary Research Training in Cardiovascular DiseaseT32HL160520 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Geoffrey S Pitt, Jonathan W. Weinsaft · 2022 to 2026
$2.0M
NHLBI NIH HHS T32 HL160520
6 · The paper itself

Abstract

backgroundPostoperative atrial fibrillation (POAF) is the most frequent complication of cardiac surgery. Despite clinical and economic implications, ample variability in POAF assessment method and definition exist across studies. We performed a study-level meta-analysis to evaluate the influence of POAF assessment method and definition on its incidence and association with clinical outcomes. METHODS AND

resultsA systematic literature search was conducted to identify studies comparing the outcomes of patients with and without POAF after cardiac surgery that also reported POAF assessment method. The primary outcome was POAF incidence. The secondary outcomes were in-hospital mortality, stroke, intensive care unit length of stay, and postoperative length of stay. Fifty-nine studies totaling 197 774 patients were included. POAF cumulative incidence was 26% (range: 7.3%-53.1%). There were no differences in POAF incidence among assessment methods (27%, [range: 7.3%-53.1%] for continuous telemetry, 27% [range: 7.9%-50%] for telemetry plus daily ECG, and 19% [range: 7.8%-42.4%] for daily ECG only;

conclusionsPOAF incidence after cardiac surgery remains high, and detection rates are variable among studies. POAF incidence and its association with adverse outcomes are not influenced by the assessment method and definition used, except in patients undergoing isolated coronary artery bypass grafting.

Indexed as

Atrial FibrillationCardiac Surgical ProceduresStrokeCoronary Artery BypassHumansIncidencePostoperative ComplicationsRisk Factorsassessment methodcardiac surgerydefinitionincidencepostoperative atrial fibrillation

Identifiers

PMID37776213
PMCPMC10727249
OpenAlexW4387218540

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.