Dataset Information

High-Sensitivity Estimate of the Incidence of New-Onset Atrial Fibrillation in Critically Ill Patients.

ABSTRACT: To estimate the incidence of new-onset atrial fibrillation in critically ill patients.

Design

Prospective cohort.

Setting

Medical-surgical ICU.

Subjects

Consecutive patients without a history of atrial fibrillation but with atrial fibrillation risk factors.

Interventions

Electrocardiogram patch monitor until discharge from hospital or up to 14 days.

Measurements and main results

A total of 249 participants (median age of 71 yr [interquartile range] 64-78 yr; 35% female) completed the study protocol of which 158 (64%) were admitted to ICU for medical illness, 78 (31%) following noncardiac surgery, and 13 (5%) with trauma. Median Acute Physiology and Chronic Health Evaluation II score was 16 (interquartile range, 12-22). Median duration of patch electrocardiogram monitoring, ICU, and hospital lengths of stay were 6 (interquartile range, 3-12), 4 (interquartile range, 2-8), and 11 days (interquartile range, 5-23 d), respectively.Atrial fibrillation ≥ 30 seconds was detected by the patch in 44 participants (17.7%), and three participants (1.2%) had atrial fibrillation detected clinically after patch removal, resulting in an overall atrial fibrillation incidence of 18.9% (95% CI, 14.2-24.3%).Total duration of atrial fibrillation ranged from 53 seconds to the entire monitoring time. The proportion of participants with ≥1 episode(s) of ≥6 minute, ≥1 hour, ≥12 hour and ≥24 hour duration was 14.8%, 13.2%, 7.0%, and 5.3%, respectively. The clinical team recognized only 70% of atrial fibrillation cases that were detected by the electrocardiogram patch.

Conclusions

Among patients admitted to an ICU, the incidence of new-onset atrial fibrillation is approximately one in five, although approximately one-third of cases are not recognized by the clinical team.

SUBMITTER: McIntyre WF

PROVIDER: S-EPMC7803666 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

High-Sensitivity Estimate of the Incidence of New-Onset Atrial Fibrillation in Critically Ill Patients.

McIntyre William F WF Belley-Côté Emilie P EP Vadakken Maria E ME Rai Anand S AS Lengyel Alexandra P AP Rochwerg Bram B Bhatnagar Akash K AK Deif Bishoy B Um Kevin J KJ Spence Jessica J Connolly Stuart J SJ Bangdiwala Shrikant I SI Rao-Melacini Purnima P Healey Jeff S JS Whitlock Richard P RP

Critical care explorations 20210108 1

To estimate the incidence of new-onset atrial fibrillation in critically ill patients.<h4>Design</h4>Prospective cohort.<h4>Setting</h4>Medical-surgical ICU.<h4>Subjects</h4>Consecutive patients without a history of atrial fibrillation but with atrial fibrillation risk factors.<h4>Interventions</h4>Electrocardiogram patch monitor until discharge from hospital or up to 14 days.<h4>Measurements and main results</h4>A total of 249 participants (median age of 71 yr [interquartile range] 64-78 yr; 35 ...[more]

PMID: 33458680

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Dataset Information

High-Sensitivity Estimate of the Incidence of New-Onset Atrial Fibrillation in Critically Ill Patients.

Design

Setting

Subjects

Interventions

Measurements and main results

Conclusions

Publications

High-Sensitivity Estimate of the Incidence of New-Onset Atrial Fibrillation in Critically Ill Patients.

Similar Datasets

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