Abstract
Atrial fibrillation (AF) has been extensively studied in postoperative critically ill surgical patients, but little literature exists to describe the outcomes of patients in the medical intensive care unit (ICU). To determine the incidence of new-onset AF in patients admitted to a medical ICU and if new-onset AF was associated with adverse clinical outcomes. This was a single-center, retrospective study of all adult patients admitted to the medical ICU at an academic medical center for >24 hours between December 2008 and April 2010. Collected data included past medical history, incidence of new-onset AF, Acute Physiology and Chronic Health Evaluation II scores, organ failure, length of stay in the ICU and hospital, and in-hospital and 60-day survival. A total of 741 patients were included. New-onset AF occurred in 53 patients (7.2%). In-hospital mortality was significantly greater for patients with new-onset AF (45% vs 16%; adjusted odds ratio [OR] = 2.21, 95% CI 1.07-4.54, P = 0.032), as was 60-day mortality (51% vs 23%; adjusted OR = 1.99, 95% CI = 1.01-3.91, P = 0.047). Patients with new-onset AF experienced greater ICU (6 ± 10.2 days vs 3 ± 3.6 days, P < 0.01) and hospital (15 ± 19 days vs 7 ± 9 days, P < 0.01) lengths of s...Continue Reading
References
Jun 1, 1992·Chest·R C BoneW J Sibbald
Dec 1, 1990·Critical Care Medicine·H Artucio, M Pereira
Aug 1, 1996·Circulation·S F ArankiH R Burstin
Apr 20, 2004·Critical Care Medicine·Philippe SeguinYannick Mallédant
Jun 24, 2005·American Journal of Epidemiology·Jeanine M BuchanichJaime Madrigano
Oct 16, 2007·Anaesthesia and Intensive Care·S AroraD L Ross
Apr 5, 2008·American Journal of Respiratory and Critical Care Medicine·Djillali AnnaneEric Bellissant
Apr 25, 2008·Critical Care Medicine·Salmaan KanjiPaul C Hébert
Dec 6, 2008·Journal of Critical Care·Sangita-Ann ChristianDavid R Gerber
Mar 3, 2009·American Journal of Epidemiology·Sigurd W HermansenArthur Schatzkin
Jul 2, 2009·American Journal of Epidemiology·Gerda G FillenbaumDan G Blazer
Sep 5, 2009·Critical Care Medicine·Neil A Halpern, Stephen M Pastores
Mar 17, 2010·The New England Journal of Medicine·Isabelle C Van GelderUNKNOWN RACE II Investigators
Jun 12, 2010·Critical Care : the Official Journal of the Critical Care Forum·Rainer MeierhenrichWolfgang Stahl
Nov 15, 2011·JAMA : the Journal of the American Medical Association·Allan J WalkeyEmelia J Benjamin
Oct 11, 2013·JAMA : the Journal of the American Medical Association·Andrea MorelliMervyn Singer
Apr 12, 2014·Chest·Allan J WalkeyEmelia J Benjamin
Citations
Sep 1, 2015·Anesthesiology Clinics·Maurice F Joyce, John Adam Reich
Nov 5, 2016·Journal of Critical Care·Perliveh CarreraTeng Moua
Aug 8, 2015·Journal of Intensive Care Medicine·Jeremiah J DubyChristine S Cocanour
Dec 19, 2017·Journal of Atrial Fibrillation·William F McIntyre, Jeff Healey
Jul 6, 2018·Acta Cardiologica·Napatt KanjanahattakijVincent M Figueredo
Nov 8, 2018·European Heart Journal. Acute Cardiovascular Care·William F McIntyreJeff S Healey
Oct 20, 2017·Current Opinion in Cardiology·William F McIntyreJeff S Healey
Mar 27, 2020·BMJ Open·Liam Joseph O'BryanPeter J Watkinson
Sep 6, 2018·BMJ Open·Jonathan BedfordPeter J Watkinson
Sep 21, 2017·PeerJ·Chung Shen CheanIngeborg Dorothea Welters
May 1, 2020·International Heart Journal·Zesheng WuFanghui Chen
Sep 29, 2020·Curēus·Karuppiah ArunachalamKyle Pond
Nov 20, 2016·Critical Care : the Official Journal of the Critical Care Forum·Wen Cheng LiuWei Shiang Lin
May 16, 2019·Intensive Care Medicine·Mik WetterslevMorten Hylander Møller
Jun 9, 2020·Open Heart·Maartje S JacobsRobert G Tieleman
Jun 16, 2018·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Giuseppe BorianiUNKNOWN ESC Scientific Document Group
Jan 3, 2020·Journal of Intensive Care Medicine·Manuela HaiducJerry Altshuler
Jan 12, 2021·The American Journal of Emergency Medicine·Fang-Ping XiaoMei Hong
Apr 2, 2021·Hospital Pharmacy·Kevin D BetthauserHannah E Pope
Apr 18, 2021·Acta Anaesthesiologica Scandinavica·Mik WetterslevAnders Perner
May 7, 2021·BMC Cardiovascular Disorders·Jun QianLin Che
Feb 28, 2021·Acta Anaesthesiologica Scandinavica·Mik WetterslevAnders Perner
Jul 13, 2021·The Korean Journal of Internal Medicine·Zhen LinJia He
Jun 27, 2021·Pacing and Clinical Electrophysiology : PACE·Ryan BrunettiPrashant D Bhave