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Factors Associated with the Incidence and Severity of New-Onset Atrial Fibrillation in Adult Critically Ill Patients
Joint Authors
Duarte, Péricles Almeida Delfino
Jorge, Amaury Cezar
Leichtweis, Gustavo Elias
Andriolo, Luiza
Delevatti, Yasmim A.
Fumagalli, Andreia C.
Santos, Luiz Claudio
Miura, Cecilia K.
Saito, Sergio K.
Source
Critical Care Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-06-15
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Acute Atrial Fibrillation (AF) is common in critically ill patients, with significant morbidity and mortality; however, its incidence and severity in Intensive Care Units (ICUs) from low-income countries are poorly studied.
Additionally, impact of vasoactive drugs on its incidence and severity is still not understood.
This study aimed to assess epidemiology and risk factors for acute new-onset AF in critically ill adult patients and the role of vasoactive drugs.
Method.
Cohort performed in seven general ICUs (including cardiac surgery) in three cities in Paraná State (southern Brazil) for 45 days.
Patients were followed until hospital discharge.
Results.
Among 430 patients evaluated, the incidence of acute new-onset AF was 11.2%.
Patients with AF had higher ICU and hospital mortality.
Vasoactive drugs use (norepinephrine and dobutamine) was correlated with higher incidence of AF and higher mortality in patients with AF; vasopressin (though used in few patients) had no effect on development of AF.
Conclusions.
In general ICU patients, incidence of new-onset AF was 11.2% with a high impact on morbidity and mortality, particularly associated with the presence of Acute Renal Failure.
The use of vasoactive drugs (norepinephrine and dobutamine) could lead to a higher incidence of new-onset AF-associated morbidity and mortality.
American Psychological Association (APA)
Duarte, Péricles Almeida Delfino& Leichtweis, Gustavo Elias& Andriolo, Luiza& Delevatti, Yasmim A.& Jorge, Amaury Cezar& Fumagalli, Andreia C.…[et al.]. 2017. Factors Associated with the Incidence and Severity of New-Onset Atrial Fibrillation in Adult Critically Ill Patients. Critical Care Research and Practice،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1139818
Modern Language Association (MLA)
Duarte, Péricles Almeida Delfino…[et al.]. Factors Associated with the Incidence and Severity of New-Onset Atrial Fibrillation in Adult Critically Ill Patients. Critical Care Research and Practice No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1139818
American Medical Association (AMA)
Duarte, Péricles Almeida Delfino& Leichtweis, Gustavo Elias& Andriolo, Luiza& Delevatti, Yasmim A.& Jorge, Amaury Cezar& Fumagalli, Andreia C.…[et al.]. Factors Associated with the Incidence and Severity of New-Onset Atrial Fibrillation in Adult Critically Ill Patients. Critical Care Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1139818
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1139818