Evidence map›Paper›PMID 37931426›Full record

Trial reportThe Journal of surgical research2024

Prospective Study of Risk Factors for Postoperative Atrial Fibrillation After Cardiac Surgery.

Michael E Bowdish, Emilia Bagiella, Gennaro Giustino, Pavan Atluri, John H Alexander, Vinod H Thourani, James S Gammie, Joseph J DeRose, Wendy C Taddei-Peters, Neal O Jeffries and 6 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Journal of surgical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. 2024 Literature Review of Postoperative Atrial Fibrillation: A Surgeon's Perspective.The Journal of innovations in cardiac rhythm management · 2025
    Article
  6. 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

16 authors at 11 institutions in 1 country.

Michael E BowdishDepartment of Cardiac Surgery, Cedars-Sinai Medical Center, Smidt Heart Institute, Los Angeles, California.
Emilia BagiellaDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai Health, New York, New York.
Gennaro GiustinoDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai Health, New York, New York.
Pavan AtluriDepartment of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
John H AlexanderDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.
Vinod H ThouraniDepartment of Cardiovascular Surgery, Marcus Heart and Vascular Center, Piedmont Heart Institute, Atlanta, Georgia.
James S GammieDivision of Cardiac Surgery, Johns Hopkins Heart and Vascular Institute, Baltimore, Maryland.
Joseph J DeRoseDepartment of Cardiothoracic and Vascular Surgery, Montefiore-Einstein Medical Center, New York, New York.
Wendy C Taddei-PetersDivision of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, NIH, Bethesda, Maryland.
Neal O JeffriesNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland.
Patrick T O'GaraCardiovascular Division, Brigham and Women's Hospital, Boston, Massachusetts.
Alan J MoskowitzDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai Health, New York, New York.
Marc GillinovDepartment of Thoracic & Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio.
Annetine C GelijnsDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai Health, New York, New York. Electronic address: annetine.gelijns@mssm.edu.
Gorav AilawadiCardiac Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Cardiothoracic Surgical Trials Network
Icahn School of Medicine at Mount Sinai · USBrigham and Women's Hospital · USCedars-Sinai Medical Center · USCleveland Clinic · USDuke Medical Center · USMichigan Medicine · USMontefiore Medical Center · USNational Heart Lung and Blood Institute · USNational Institutes of Health · USPiedmont Atlanta Hospital · USUniversity of Pennsylvania · US

Funding

REVISED CAROL ACT IIU01HL088942 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GELIJNS, ANNE CHRISTINE, MOSKOWITZ, ALAN J · 2007 to 2025
$122.6M
NHLBI NIH HHS U01 HL088942
6 · The paper itself

Abstract

introductionTo examine risk factors for new-onset postoperative atrial fibrillation (POAF) after cardiac surgery.

methodsPatients enrolled in the Cardiothoracic Surgical Trials Network multicenter, randomized trial of rate control versus rhythm control for POAF were included. Predictors of POAF were determined using multivariable logistic regression.

resultsAmong the 2104 patients who were enrolled preoperatively, 695 developed POAF (33.0%). Rates of POAF were 28.1% after isolated coronary artery bypass grafting (CABG), 33.7% after isolated valve repair or replacement, and 47.3% after CABG plus valve repair or replacement. Baseline characteristics associated with an increased risk of POAF identified on multivariable analysis included older age (odds ratio [OR] 1.57; 95% confidence interval [CI] 1.42-1.73, per 10 y), White race or non-Hispanic ethnicity (OR 1.52; CI: 1.11-2.07), history of heart failure (OR 1.55; CI: 1.16-2.08), and history of hypothyroidism (OR 1.42; CI 1.04-1.94). The type of cardiac procedure was associated with an increased risk of POAF with both isolated valve repair or replacement (OR 1.33, CI 1.08-1.64) and combined CABG plus valve repair or replacement (OR 1.64, CI 1.24-2.17) having increased risk of POAF compared to isolated CABG. No preoperative cardiac medication was associated with POAF.

conclusionsIn this prospective cohort of patients, older age, a history of hypothyroidism, a history of heart failure, and valve repair or replacement, with or without CABG, and White non-Hispanic race were associated with an increased risk of POAF.

Indexed as

Atrial FibrillationCardiac Surgical ProceduresHeart FailureHypothyroidismHumansPostoperative ComplicationsProspective StudiesRisk FactorsPostoperative atrial fibrillationRisk factor

Identifiers

PMID37931426
PMCPMC11697379
OpenAlexW4388361514

What OpenQuestion holds

Textmetadata
LicenceTDM
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.