Academic Journal
Atrial fibrillation after cardiac surgery: identifying candidate predictors through a Delphi process
| العنوان: | Atrial fibrillation after cardiac surgery: identifying candidate predictors through a Delphi process |
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| المؤلفون: | Bedford, Jonathan, Fields, Kara G, Collins, Gary Stephen, Lip, Gregory Y H, Clifton, David A, O'Brien, Benjamin, Muehlschlegel, Jochen D, Watkinson, Peter J, Redfern, Oliver C |
| المصدر: | Bedford , J , Fields , K G , Collins , G S , Lip , G Y H , Clifton , D A , O'Brien , B , Muehlschlegel , J D , Watkinson , P J & Redfern , O C 2024 , ' Atrial fibrillation after cardiac surgery: identifying candidate predictors through a Delphi process ' , BMJ Open , vol. 14 , no. 9 , e086589 , pp. e086589 . https://doi.org/10.1136/bmjopen-2024-086589 |
| سنة النشر: | 2024 |
| المجموعة: | Aalborg University (AAU): Publications / Aalborg Universitet: Publikationer |
| مصطلحات موضوعية: | Atrial Fibrillation/etiology, Cardiac Surgical Procedures/adverse effects, Consensus, Delphi Technique, Humans, Postoperative Complications/etiology, Risk Assessment/methods, Risk Factors, cardiac surgery, pacing & electrophysiology |
| الوصف: | OBJECTIVES: This study was undertaken to identify potential predictors of atrial fibrillation after cardiac surgery (AFACS) through a modified Delphi process and expert consensus. These will supplement predictors identified through a systematic review and cohort study to inform the development of two AFACS prediction models as part of the PARADISE project (NCT05255224). Atrial fibrillation is a common complication after cardiac surgery. It is associated with worse postoperative outcomes. Reliable prediction of AFACS would enable risk stratification and targeted prevention. Systematic identification of candidate predictors is important to improve validity of AFACS prediction tools. DESIGN: This study is a Delphi consensus exercise. SETTING: This study was undertaken through remote participation. PARTICIPANTS: The participants are an international multidisciplinary panel of experts selected through national research networks. INTERVENTIONS: This is a two-stage consensus exercise consisting of generating a long list of variables, followed by refinement by voting and retaining variables selected by at least 40% of panel members. RESULTS: The panel comprised 15 experts who participated in both stages, comprising cardiac intensive care physicians (n=3), cardiac anaesthetists (n=2), cardiac surgeons (n=1), cardiologists (n=4), cardiac pharmacists (n=1), critical care nurses (n=1), cardiac nurses (n=1) and patient representatives (n=2). Our Delphi process highlighted candidate AFACS predictors, including both patient factors and those related to the surgical intervention. We generated a final list of 72 candidate predictors. The final list comprised 3 demographic, 29 comorbidity, 4 vital sign, 13 intraoperative, 10 postoperative investigation and 13 postoperative intervention predictors. CONCLUSIONS: A Delphi consensus exercise has the potential to highlight predictors beyond the scope of existing literature. This method proved effective in identifying a range of candidate AFACS predictors. Our findings will inform the ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| DOI: | 10.1136/bmjopen-2024-086589 |
| الاتاحة: | https://vbn.aau.dk/da/publications/82a11699-7a34-475f-ac07-757b8dafb811 https://doi.org/10.1136/bmjopen-2024-086589 https://vbn.aau.dk/ws/files/745759102/Bedford_et_al._2024_._Atrial_fibrillation_after_cardiac_surgery_-_identifying_candidate_predictors_through_a_Delphi_process.pdf http://www.scopus.com/inward/record.url?scp=85204942257&partnerID=8YFLogxK |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.3880BF45 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/bmjopen-2024-086589 |
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