Risk factors for new-onset atrial fibrillation on the general adult ICU: A systematic review

被引：27

作者：

Bedford, Jonathan P. ^{[1
]}

Harford, Mirae ^{[1
]}

Petrinic, Tatjana ^{[2
]}

Young, J. Duncan ^{[1
]}

Watkinson, Peter J. ^{[3
]}

机构：

[1] Univ Oxford, Nuffield Dept Clin Neurosci, Oxford, England

[2] Univ Oxford, Bodleian Hlth Care Lib, Oxford, England

[3] Univ Oxford, Nuffield Dept Clin Neurosci, NIHR Biomed Res Ctr, Oxford, England

来源：

JOURNAL OF CRITICAL CARE | 2019年 / 53卷

关键词：

Atrial fibrillation; Risk factors; Critical illness; Intensive care units; CRITICALLY-ILL PATIENTS; INTENSIVE-CARE-UNIT; PULMONARY-ARTERY; INDEPENDENT PREDICTOR; CARDIAC-ARRHYTHMIAS; HEART-FAILURE; MORTALITY; PREVALENCE; MANAGEMENT; OUTCOMES;

D O I：

10.1016/j.jcrc.2019.06.015

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Purpose: This study was performed to systematically review the available evidence for the risk factors for newonset atrial fibrillation (NOAF) on the general adult intensive care unit (ICU) and provide a semi-quantitative evidence synthesis. Methods: We searched theMEDLINE, EMBASE, Cochrane Database of Systematic Reviews and the CENTRAL databases from 1970 to 2018. We included studies of adults based in general ICUs that evaluated potential risk factors for NOAF. We excluded studies involving patients with a history of atrial fibrillation (AF). We semi-qualitatively evaluated the strength of evidence for each identified variable. Results: We screened 1447 studies. Seventeen studies were included in the final analysis. We identified strong evidence for age, male sex, preceding cardiovascular disease, acute renal failure, acute respiratory failure, APACHE score and the use of vasopressors as risk factors for the development of NOAF on the ICU. Modifiable risk factors had not been studied in detail. Conclusions: We provide the first systematic review with evidence synthesis of risk factors for NOAF on the general adult ICU. Evidence for modifiable risk factors was limited. Further research is therefore required and may contribute towards the evidence-based prevention and management of this important condition. (C) 2019 The Authors. Published by Elsevier Inc.

引用

页码：169 / 175

页数：7

共 80 条

[11] CARDIAC-ARRHYTHMIAS IN CRITICALLY ILL PATIENTS - EPIDEMIOLOGIC-STUDY [J].

ARTUCIO, H ;

PEREIRA, M .

CRITICAL CARE MEDICINE, 1990, 18 (12) :1383-1388

[12]

Augusto João Bicho, 2018, Rev. bras. ter. intensiva, V30, P166, DOI [10.5935/0103-507X.20180022, 10.5935/0103-507x.20180022]

[13] Inflammation as a risk factor for atrial fibrillation [J].

Aviles, RJ ;

Martin, DO ;

Apperson-Hansen, C ;

Houghtaling, PL ;

Rautaharju, P ;

Kronmal, RA ;

Tracy, RP ;

Van Wagoner, DR ;

Psaty, BM ;

Lauer, MS ;

Chung, MK .

CIRCULATION, 2003, 108 (24) :3006-3010

[14] Risk factors for new-onset atrial fibrillation on the general adult ICU: protocol for a systematic review [J].

Bedford, Jonathan ;

Harford, Mirae ;

Petrinic, Tatjana ;

Young, J. Duncan ;

Watkinson, Peter J. .

BMJ OPEN, 2018, 8 (09)

[15] INDEPENDENT RISK-FACTORS FOR ATRIAL-FIBRILLATION IN A POPULATION-BASED COHORT - THE FRAMINGHAM HEART-STUDY [J].

BENJAMIN, EJ ;

LEVY, D ;

VAZIRI, SM ;

DAGOSTINO, RB ;

BELANGER, AJ ;

WOLF, PA .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 271 (11) :840-844

[16] Impact of perioperative haemodynamic monitoring on cardiac morbidity after major vascular surgery in low risk patients. A randomised pilot trial [J].

Bonazzi, M ;

Gentile, F ;

Biasi, GM ;

Migliavacca, S ;

Esposti, D ;

Cipolla, M ;

Marsicano, M ;

Prampolini, F ;

Ornaghi, M ;

Sternjakob, S ;

Tshomba, Y .

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2002, 23 (05) :445-451

[17] Atrial Fibrillation in the ICU [J].

Bosch, Nicholas A. ;

Cimini, Jonathan ;

Walkey, Allan J. .

CHEST, 2018, 154 (06) :1424-1434

[18] The new onset of atrial arrhythmias following major noncardiothoracic surgery is associated with increased mortality [J].

Brathwaite, D ;

Weissman, C .

CHEST, 1998, 114 (02) :462-468

[19] Perioperative atrial arrhythmias in noncardiothoracic patients: a review of risk factors and treatment strategies in the veteran population [J].

Burris, Jennifer Marye ;

Subramanian, Anuradha ;

Sansgiry, Shubhada ;

Palacio, Carlos H. ;

Bakaeen, Faisal G. ;

Awad, Samir S. .

AMERICAN JOURNAL OF SURGERY, 2010, 200 (05) :601-605

[20] The impact of maintaining serum potassium ≥3.6 mEq/L vs ≥4.5 mEq/L on the incidence of new-onset atrial fibrillation in the first 120 hours after isolated elective coronary artery bypass grafting - study protocol for a randomised feasibility trial for the proposed Tight K randomized non-inferiority trial [J].

Campbell, Niall G. ;

Allen, Elizabeth ;

Sanders, Julie ;

Swinson, Rebecca ;

Birch, Sophie ;

Sturgess, Joanna ;

Al-Subaie, Nawaf ;

Elbourne, Diana ;

Montgomery, Hugh ;

O'Brien, Ben .

TRIALS, 2017, 18

← 1 2 3 4 5 6 7 8 →