Effect of Postoperative Atrial Fibrillation After Cardiac Surgery: A Meta-Analysis

IF 2.4 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Clinical Cardiology Pub Date : 2024-12-04 DOI:10.1002/clc.70053

Fangzhou Qu, Wei Yang, Ni He, Shangcheng Qu, Xiao Zhou, Huayan Ma, Xin Jiang

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Abstract

Background

A meta-analysis study was conducted to determine how to predict the effect of postoperative atrial fibrillation after cardiac surgery.

Hypothesis

Long-term mortality and cardiovascular morbidity are linked to postoperative atrial fibrillation.

Method

Until August 2024, a comprehensive literature study was completed, and 3486 connected studies were revised. The 38 selected studies included 241 299 cardiac surgery participants at the beginning of the study. The odds ratio (OR) and 95% confidence intervals (CIs) were used to look at the effect of atrial fibrillation after heart surgery using two-sided methods and either a fixed or random model.

Results

Individuals with cardiac surgery with postoperative atrial fibrillation had significantly higher mortality at 1 year (OR, 1.39; 95% CI, 1.12–1.72, p < 0.001), mortality at 5 years (OR, 1.61; 95% CI, 1.33–1.94, p < 0.001), mortality at 10 years (OR, 1.61; 95% CI, 1.39–1.87, p < 0.001), and overall stroke (OR, 1.61; 95% CI, 1.34–1.94, p < 0.001) compared to without postoperative atrial fibrillation.

Conclusions

Individuals with cardiac surgery with postoperative atrial fibrillation had significantly higher mortality at 1 year, mortality at 5 years, mortality at 10 years, and overall stroke compared to those without postoperative atrial fibrillation. To validate this discovery, more research and caution must be implemented when interacting with its values.

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心脏手术后房颤的影响：一项meta分析。

背景：进行了一项荟萃分析研究，以确定如何预测心脏手术后房颤的影响。假设：远期死亡率和心血管发病率与术后房颤有关。方法：截至2024年8月，完成全面的文献研究，并修改相关研究3486篇。38项选定的研究在研究开始时包括24299名心脏手术参与者。比值比（OR）和95%置信区间（CIs）采用双侧方法和固定或随机模型来观察心脏手术后房颤的影响。结果：心脏手术患者术后并发房颤的1年死亡率显著高于其他患者(OR, 1.39；95% CI, 1.12-1.72， p结论：与术后无房颤的患者相比，心脏手术后并发房颤的患者1年、5年、10年死亡率和总卒中发生率明显更高。为了验证这一发现，在与其值交互时必须进行更多的研究和谨慎。

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来源期刊

Clinical Cardiology 医学-心血管系统

CiteScore

5.10

自引率

3.70%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Clinical Cardiology provides a fully Gold Open Access forum for the publication of original clinical research, as well as brief reviews of diagnostic and therapeutic issues in cardiovascular medicine and cardiovascular surgery. The journal includes Clinical Investigations, Reviews, free standing editorials and commentaries, and bonus online-only content. The journal also publishes supplements, Expert Panel Discussions, sponsored clinical Reviews, Trial Designs, and Quality and Outcomes.