医学
心房颤动
置信区间
内科学
优势比
诊断优势比
心脏外科
接收机工作特性
荟萃分析
心脏病学
曲线下面积
作者
Arjun Pandey,Iva Okaj,Simarpreet Ichhpuniani,Brendan Tao,Hargun Kaur,Jessica Spence,Jack Young,Jeff S. Healey,P.J. Devereaux,Kevin J. Um,Alexander P. Benz,David Conen,Richard Whitlock,Emilie P. Belley‐Côté,William F. McIntyre
标识
DOI:10.1016/j.amjcard.2023.08.161
摘要
Postoperative atrial fibrillation (POAF) is a common complication after cardiac surgery and is associated with poor clinical outcomes. The objective of this systematic review and meta-analysis was to assess the performance of risk scores to predict POAF in cardiac surgery patients. We searched MEDLINE, Embase, and Cochrane CENTRAL for studies that developed/evaluated a POAF risk prediction model. Pairs of reviewers independently screened studies and extracted data. We pooled area under the receiver operating curves (AUCs), sensitivity and specificity, and adjusted odds ratios from multivariable regression analyses using the generic inverse variance method and random effects models. Forty-three studies (n = 63,847) were included in the quantitative synthesis. Most scores were originally developed for other purposes but evaluated for predicting POAF. Pooled AUC revealed moderate POAF discrimination for the EuroSCORE II (AUC 0.59, 95% confidence interval [CI] 0.54 to 0.65), Society of Thoracic Surgeons (AUC 0.60, 95% CI 0.56 to 0.63), EuroSCORE (AUC 0.63, 95% CI 0.58 to 0.68), CHADS
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