Evidence map›Paper›PMID 39292154›Full record

ArticleAnatolian journal of cardiology2024

Predicting Postoperative Atrial Fibrillation Using HARMS2-AF Score.

Can Ramazan Öncel, Cemal Köseoğlu, Göksel Dağaşan, Ali Çoner, Selçuk Ayhan, Özgür Akkaya, Oğuz Karahan

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Article in Anatolian journal of cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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2citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Can Ramazan ÖncelDepartment of Cardiology, Alanya Alaaddin Keykubat University, Faculty of Medicine, Antalya, Türkiye.
Cemal KöseoğluDepartment of Cardiology, Alanya Alaaddin Keykubat University, Faculty of Medicine, Antalya, Türkiye.
Göksel DağaşanDepartment of Cardiology, Alanya Alaaddin Keykubat University, Faculty of Medicine, Antalya, Türkiye.
Ali ÇonerDepartment of Cardiology, Alanya Alaaddin Keykubat University, Faculty of Medicine, Antalya, Türkiye.
Selçuk AyhanDepartment of Cardiology, Alanya Training and Research Hospital, Antalya, Türkiye.
Özgür AkkayaDepartment of Cardiology, Alanya Training and Research Hospital, Antalya, Türkiye.
Oğuz KarahanDepartment of Cardiology, Alanya Alaaddin Keykubat University, Faculty of Medicine, Antalya, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative atrial fibrillation (POAF) remains a common complication after cardiac surgery. The ability to accurately identify patients at risk through previous risk scores is limited. This study aimed to evaluate the new HARMS2-AF risk score to predict POAF after coronary artery bypass grafting (CABG) surgery.

methodsIn this retrospective cohort study, we included 265 patients undergoing CABG surgery from 2022-2023. Data were obtained from the medical files of the patients and hospital records. Each patient was assigned a HARMS2-AF risk score. A univariate and multivariate regression analyses were done to analyze independent predictors of POAF.

resultsOf 265 patients, 49 had postoperative atrial fibrillation. HARMS2-AF score was significantly higher in patients with POAF. Age, sleep apnea,a left atrial diameter (LAd), and HARMS2-AF score were independently associated with POAF. A HARMS2-AF score ≥ 4.5 predicted POAF with 91% sensitivity and 64% specificity (AUC = 0.787, 95% CI = 0.731-0.842, P < .001).

conclusionThe HARMS2-AF score is a strong predictor of atrial fibrillation (AF) development after isolated CABG surgery. It can be used as a novel stratification tool to estimate AF after cardiac surgery.

Identifiers

PMID39292154
PMCPMC11537452

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