Evidence map›Paper›PMID 40880560›Full record

ArticleWorld journal of critical care medicine2025

Postoperative atrial fibrillation in emergent non-cardiac surgery: Risk factors and outcomes from a ten-year intensive-care unit retrospective study.

Dimitrios Giannis, Ruby Zhao, Luis Fernandez, Nicole Nikolov, Christina Sneed, Patrick Kiarie, Andrew Miele, Martine A Louis, Nageswara Rao Mandava

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of critical care medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Dimitrios GiannisDepartment of Surgery, Flushing Hospital Medical Center, MediSys Health Network, Flushing, Queens, NY 11355, United States. dimitrisgiannhs@gmail.com.
Ruby ZhaoDepartment of Surgery, Flushing Hospital Medical Center, MediSys Health Network, Flushing, Queens, NY 11355, United States.
Luis FernandezDepartment of Surgery, Flushing Hospital Medical Center, MediSys Health Network, Flushing, Queens, NY 11355, United States.
Nicole NikolovDepartment of Surgery, Flushing Hospital Medical Center, MediSys Health Network, Flushing, Queens, NY 11355, United States.
Christina SneedDepartment of Surgery, Flushing Hospital Medical Center, MediSys Health Network, Flushing, Queens, NY 11355, United States.
Patrick KiarieDepartment of Surgery, Flushing Hospital Medical Center, MediSys Health Network, Flushing, Queens, NY 11355, United States.
Andrew MieleResearch, Education & Innovation (REl), MediSys Health Network, Flushing, Queens, NY 11355, United States.
Martine A LouisDepartment of Surgery, Flushing Hospital Medical Center, MediSys Health Network, Flushing, Queens, NY 11355, United States.
Nageswara Rao MandavaDepartment of Surgery, Flushing Hospital Medical Center, MediSys Health Network, Flushing, Queens, NY 11355, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) represents a common arrhythmia with significant implications and may occur pre-, intra-, or postoperatively (POAF). After cardiac surgery POAF occurs in approximately 30% of patients, while non-cardiac/non-thoracic surgery has a reported incidence between 0.4% to 15%, with new onset POAF occurring at a rate of 0.4% to 3%. While AF has been extensively studied, it has not been well described in emergent non-cardiac surgery associated with increased surgical stress in an intensive care unit setting (ICU).

aimTo investigate the incidence/predictors of POAF in emergent non-cardiac surgery and its associations with postoperative outcomes in the ICU.

methodsThis retrospective study included patients ≥ 18 years who underwent exploratory laparotomy or lower extremity amputation between October 2012 and September 2023 and were admitted in the ICU. Data of interest included occurrence of POAF, demographic characteristics, comorbidities, laboratory values, administered fluids, medications, and postoperative outcomes. Statistical analyses consisted of identifying predictors of POAF and associations of POAF with outcomes of interest.

resultsA total of 347 ICU patients were included, 16.4% had a history of AF, 13.0% developed POAF, and 7.9% developed new-onset POAF. Patients with new-onset POAF were older (79.6 ± 9.1

conclusionPOAF was associated with prolonged ICU-LOS, white race, and high intraoperative fluid. New-onset POAF was associated with increased risk of cardiac arrest and death in critically ill patients.

Indexed as

Emergent surgeryExploratory laparotomyIntensive care unitKnee amputationNon-cardiac surgeryPostoperative atrial fibrillationPostoperative mortality

Identifiers

PMID40880560
PMCPMC12304932

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