Johnston, Brian W, Udy, Andrew A, McAuley, Daniel F, Mogk, Martin, Welters, Ingeborg D 
ORCID: 0000-0002-3408-8798 and Sibley, Stephanie
(2024)
An International Survey of the Management of Atrial Fibrillation in Critically Unwell Patients.
Critical care explorations, 6 (4).
e1069-.
Abstract
<h4>Objectives</h4>To evaluate the current management of new-onset atrial fibrillation and compare differences in practice regionally.<h4>Design</h4>Cross-sectional survey.<h4>Setting</h4>United States, Canada, United Kingdom, Europe, Australia, and New Zealand.<h4>Subjects</h4>Critical care attending physicians/consultants and fellows.<h4>Interventions</h4>None.<h4>Measurements and main results</h4>A total of 386 surveys were included in our analysis. Rate control was the preferred treatment approach for hemodynamically stable patients (69.1%), and amiodarone was the most used antiarrhythmic medication (70.9%). For hemodynamically unstable patients, a strategy of electrolyte supplementation and antiarrhythmic therapy was most common (54.7%). Physicians responding to the survey distributed by the Society of Critical Care Medicine were more likely to prescribe beta-blockers as a first-line antiarrhythmic medication (38.4%), use more transthoracic echocardiography than respondents from other regions (82.4%), and more likely to refer patients who survive their ICU stay for cardiology follow-up if they had new-onset atrial fibrillation (57.2%). The majority of survey respondents (83.0%) were interested in participating in future studies of atrial fibrillation in critically ill patients.<h4>Conclusions</h4>Significant variation exists in the management of new-onset atrial fibrillation in critically ill patients, as well as geographic variation. Further research is necessary to inform guidelines in this population and establish if differences in practice impact long-term outcomes.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | anticoagulation, arrhythmia, atrial fibrillation, long-term follow-up, prophylaxis |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 23 Apr 2024 08:23 |
| Last Modified: | 23 Apr 2024 08:24 |
| DOI: | 10.1097/cce.0000000000001069 |
| Open Access URL: | http://10.0.4.73/CCE.0000000000001069 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3180503 |
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