Evidence map›Paper›PMID 40323451›Full record

ReviewIntensive care medicine2025

Atrial fibrillation in critical illness: state of the art.

Stephanie Sibley, Jonathan Bedford, Mik Wetterslev, Brian Johnston, Tessa Garside, Salmaan Kanji, Tony Whitehouse, Ingeborg Welters, Marlies Ostermann, Martin Balik and 5 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Intensive care medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. A prospective, multi-site, observational study assessing the treatment thresholds of new onset atrial fibrillation in the critically ill.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Article
  6. Review
  7. Article
  8. Epidemiology and pharmacological management of new onset atrial fibrillation in critically ill adults: A multicentre observational study.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. 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

15 authors.

Stephanie SibleyDepartment of Critical Care Medicine, Queen's University, Kingston, Canada. stephanie.sibley@kingstonhsc.ca.ORCID 0000-0003-2229-9747
Jonathan BedfordDepartment of Clinical Neurosciences, University of Oxford Nuffield, Oxford, UK.
Mik WetterslevDepartment of Intensive Care, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Brian JohnstonFaculty of Health, and Life Sciences, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
Tessa GarsideUniversity of Sydney, Royal North Shore Hospital, Sydney, Australia.
Salmaan KanjiThe Ottawa Hospital Research Institute, Ottawa, Canada.
Tony WhitehouseUniversity Hospitals of Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Birmingham, UK.
Ingeborg WeltersFaculty of Health, and Life Sciences, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
Marlies OstermannKing's College London, Guy's and St Thomas' Hospital London, London, UK.
Martin BalikFaculty of Medicine, Department of Anesthesiology and Intensive Care, Charles University, Prague, Czechia.
Daniel LanciniCardiology Department, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Blossom DharmarajMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Canada.
Emelia J BenjaminDepartment of Epidemiology, School of Public Health, Boston University, Boston, USA.
Allan J WalkeyDivision of Health Systems Science, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, USA.
Brian H CuthbertsonTemerty Faculty of Medicine, Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atrial fibrillation (AF) is the most common arrhythmia experienced by critically ill patients. It has been associated with adverse short-and long-term outcomes, including an increased risk of thromboembolic events, heart failure, and death. Due to complex and multifactorial pathophysiology, a heterogenous patient population, and a lack of clinical tools for risk stratification validated in this population, AF in critical illness is challenging to predict, prevent, and manage. Personalized management strategies that consider patient factors such as underlying cardiac structure and function, potentially reversible arrhythmogenic triggers, and risk for complications of AF are needed. Furthermore, evaluation of the effects of these interventions on long-term outcomes is warranted. Critical illness survivors who have had AF represent a unique population who require systematic follow-up after discharge. However, the frequency, type, and intensity of follow-up is unknown. This state-of-the-art review aims to summarize the evidence, contextualize the current guidelines within the setting of critical illness, and highlight gaps in knowledge and research opportunities to further our understanding of this arrhythmia and improve patient outcomes.

Indexed as

Atrial FibrillationCritical IllnessHumansRisk AssessmentRisk FactorsAtrial fibrillationCritical illness

Identifiers

What OpenQuestion holds

Textmetadata
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.