Evidence map›Paper›PMID 38690434›Full record

ArticleJTCVS open2024

Enhanced Recovery After Surgery Cardiac Society turnkey order set for prevention and management of postoperative atrial fibrillation after cardiac surgery: Proceedings from the American Association for Thoracic Surgery ERAS Conclave 2023.

Subhasis Chatterjee, Busra Cangut, Amanda Rea, Rawn Salenger, Rakesh C Arora, Michael C Grant, Vicki Morton-Bailey, Sameer Hirji, Daniel T Engelman, ERAS Cardiac Working Group

Open access · goldAbstract read
In one paragraph

Article in JTCVS open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

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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

10 authors at 14 institutions in 2 countries.

Subhasis ChatterjeeDepartment of Surgery, Baylor College of Medicine and Texas Heart Institute, Houston, Tex.
Busra CangutDepartment of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Amanda ReaDivision of Cardiac Surgery, University of Maryland St Joseph Medical Center, Towson, Md.
Rawn SalengerDivision of Cardiac Surgery, University of Maryland St Joseph Medical Center, Towson, Md.
Rakesh C AroraDivision of Cardiac Surgery, Department of Surgery, Harrington Heart and Vascular Institute, University Hospitals, Case Western Reserve University, Cleveland, Ohio.
Michael C GrantDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Md.
Vicki Morton-BaileyProvidence Anesthesiology Associated, Charlotte, NC.
Sameer HirjiDivision of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Daniel T EngelmanDepartment of Surgery, Heart & Vascular Program, Baystate Health, University of Massachusetts Chan Medical, School-Baystate, Springfield, Mass.
ERAS Cardiac Working Group
St. Joseph Medical Center · USUniversity of Massachusetts Chan Medical School · USBaylor College of Medicine · USBon Secours Heart & Vascular Institute · USBrigham and Women's Hospital · USCase Western Reserve University · USCentennial Medical Center · USCornell University · USIcahn School of Medicine at Mount Sinai · USJohns Hopkins University · USLibin Cardiovascular Institute of Alberta · CAMount Sinai Hospital · USProvidence College · USThe University of Texas Health Science Center at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postoperative atrial fibrillation (POAF) is a prevalent complication following cardiac surgery that is associated with increased adverse events. Several guidelines and expert consensus documents have been published addressing the prevention and management of POAF. We aimed to develop an order set to facilitate widespread implementation and adoption of evidence-based practices for POAF following cardiac surgery. Methods: Subject matter experts were consulted to translate existing guidelines and literature into a sample turnkey order set (TKO) for POAF. Orders derived from consistent class I or IIA or equivalent recommendations across referenced guidelines and consensus manuscripts appear in the TKO in bold type. Selected orders that were inconsistently class I or IIA, class IIB, or supported by published evidence appear in italic type. Results: Preoperatively, the recommendation is to screen patients for paroxysmal or chronic atrial fibrillation and initiate appropriate treatment based on individual risk stratification for the development of POAF. This may include the administration of beta-blockers or amiodarone, tailored to the patient's specific risk profile. Intraoperatively, surgical interventions such as posterior pericardiotomy should be considered in selected patients. Postoperatively, it is crucial to focus on electrolyte normalization, implementation strategies for rate or rhythm control, and anticoagulation management. These comprehensive measures aim to optimize patient outcomes and reduce the occurrence of POAF following cardiac surgery. Conclusions: Despite the well-established benefits of implementing a multidisciplinary care pathway for POAF in cardiac surgery, its adoption and implementation remain inconsistent. We have developed a readily applicable order set that incorporates recommendations from existing guidelines.

Indexed as

enhanced recoveryperioperative carepostoperative atrial fibrillation

Identifiers

PMID38690434
PMCPMC11056439
OpenAlexW4391933732

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.