Arrhythmias & electrophysiology

Posterior pericardiotomy for the prevention of atrial fibrillation after cardiac surgery: a systematic review and meta-analysis of 25 randomised controlled trials

EuroInterventionPublished Systematic review and meta-analysis of randomised trials

Pooled resultResult — go to the resultOdds ratio 0.49 95% CI 0.38–0.61

Authors' conclusion

PP is an effective intervention for reducing the risk of POAF after cardiac surgery.

Study context

Population
Patients undergoing cardiac surgery
Participants
4,467 patients25 randomised clinical trials (RCTs)
Comparison
Posterior pericardiotomy vs no posterior pericardiotomy (PP)
Outcome
Incidence of postoperative atrial fibrillation (AF) (postoperative AF (POAF))

Pooled result

As reported in the abstract

Odds ratio

0.49

95% CI 0.38–0.61

By group

PPvs Control
OR 0.49 (95% CI 0.38–0.61)

Further pooled results

OutcomeOR (95% CI)
Supraventricular tachycardia0.66 (0.43–0.89)
Early pericardial effusion0.32 (0.22–0.46)
Late pericardial effusion0.15 (0.09–0.25)
Pericardial tamponade0.18 (0.10–0.33)

Original publication

Posterior pericardiotomy for the prevention of atrial fibrillation after cardiac surgery: a systematic review and meta-analysis of 25 randomised controlled trials. EuroIntervention. Published 17 July 2023. doi:10.4244/eij-d-22-00948

Composed by AI from the published abstract and checked against it. How Briefs are made →

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