Scores predicting atrial fibrillation after mitral valve surgery: Do we need a more specific score?

Background Atrial fibrillation after cardiac surgery (POAF) is associated with increased morbidity and mortality. Several scores were used to predict POAF, with variable results. Thus, this study assessed the performance of several scoring systems to predict POAF after mitral valve surgery. Addition...

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Bibliographic Details
Published in:Journal of arrhythmia 2024-04, Vol.40 (2), p.342-348
Main Authors: Albabtain, Monirah A., Almathami, Elham A., Alghosoon, Haneen, Alsubaie, Faisal F., Abdelaal, Ibrahim M., Ismail, Huda, Adam, Adam I., Arafat, Amr A.
Format: Article
Language:English
Subjects:
Atrial fibrillation
Body mass index
Cardiac arrhythmia
cardiac surgery
Care and treatment
Chronic obstructive pulmonary disease
Complications and side effects
Coronary vessels
Creatinine
Diagnosis
Ejection fraction
Heart failure
Heart surgery
Heart valve diseases
Hypertension
Ischemia
mitral valve surgery
Regression analysis
Risk factors
risk‐scoring systems
Stroke
Thromboembolism
Variables
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Summary:Background Atrial fibrillation after cardiac surgery (POAF) is associated with increased morbidity and mortality. Several scores were used to predict POAF, with variable results. Thus, this study assessed the performance of several scoring systems to predict POAF after mitral valve surgery. Additionally, we identified the risk factors for POAF in those patients. Methods This retrospective cohort included 1381 recruited from 2009 to 2021. The patients underwent mitral valve surgery, and POAF occurred in 233 (16.87%) patients. The performance of CHADS2, CHA2DS2‐VASc, POAF, EuroSCORE II, and HATCH scores was evaluated. Results The median age was higher in patients who developed POAF (60 vs. 54 years; p  58 years, body mass index > 28 kg/m2, creatinine clearance  2 significantly predicted POAF (p 
ISSN:1880-4276
1883-2148
DOI:10.1002/joa3.13002