Circadian variation in new-onset atrial fibrillation in patients in ICUs.

Atrial Fibrillation / epidemiology Humans Intensive Care Units Retrospective Studies Risk Factors
Arrhythmia Atrial fibrillation Circadian rhythm Critical illness Intensive care

Journal

Journal of critical care
ISSN: 1557-8615
Titre abrégé: J Crit Care
Pays: United States
ID NLM: 8610642

Informations de publication

Date de publication:
02 2022
Historique:
received: 07 05 2021
revised: 03 09 2021
accepted: 13 09 2021
pubmed: 25 9 2021
medline: 4 3 2022
entrez: 24 9 2021
Statut: ppublish

Résumé

New-onset atrial fibrillation (NOAF) is common in patients treated on an intensive care unit (ICU). Onset of certain arrhythmias exhibit circadian variation. Whether NOAF follows a circadian rhythm in patients in ICU is unknown. We undertook a retrospective observational study of two ICU databases to explore the timing of NOAF onset. We identified 2017 patients who developed NOAF during their ICU stay. NOAF onset exhibited a bimodal distribution with peaks at 8 am and 8 pm, consistent with the onset of paroxysmal AF in patients in the community. Future studies in ICUs should record time of AF onset, as understanding high risk periods may inform timing of preventative interventions.

Identifiants

DOI: 10.1016/j.jcrc.2021.09.008 PMID: 34560357
pubmed: 34560357
pii: S0883-9441(21)00195-7
doi: 10.1016/j.jcrc.2021.09.008
pii:
doi:

Types de publication

Journal Article Observational Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-2

Subventions

Organisme : Department of Health
ID : NIHR300224
Pays : United Kingdom

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Auteurs

Jonathan P Bedford (JP)

Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK; Oxford University Hospitals NHS Foundation Trust, Oxford, UK. Electronic address: Jonathan.Bedford@ndcn.ox.ac.uk.

Oliver Redfern (O)

Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK. Electronic address: Oliver.Redfern@ndcn.ox.ac.uk.

Alistair Johnson (A)

Glowyr ltd., Hawkstone House, Valley Road, Hebden Bridge, West Yorkshire, UK. Electronic address: aewj@mit.edu.

Kim Rajappan (K)

Oxford University Hospitals NHS Foundation Trust, Oxford, UK. Electronic address: Kim.Rajappan@ouh.nhs.uk.

Peter J Watkinson (PJ)

Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK; National Institute for Health Research Biomedical Research Centre, Oxford, UK; Oxford University Hospitals NHS Foundation Trust, Oxford, UK. Electronic address: Peter.Watkinson@ndcn.ox.ac.uk.

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Classifications MeSH

questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Troubles du rythme cardiaque › Fibrillation auriculaire › Circadian variation in new-onset atrial...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Circadian variation in new-onset atrial...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Unités hospitalières › Unités de soins intensifs › Circadian variation in new-onset atrial...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Circadian variation in new-onset atrial...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Facteurs de risque › Circadian variation in new-onset atrial...