Cardiac arrest & resuscitation

Post-ROSC Atrial fibrillation is not associated with rearrest but is associated with stroke and mortality following out of hospital cardiac arrest

ResuscitationPublished Retrospective cohort study

Authors' conclusion

AF was common following ROSC and not associated with rearrest. AF after CA was associated with increased mortality and stroke risk.

Study context

Population
EMS patients with OHCA and ROSC before ED arrival
Participants
119 patients
Exposure
Atrial fibrillation (AF) vs no AF after ROSC
  • AFn = 39
Outcome
Rearrest
Methodological detailsadditional observational electronic health record (EHR) cohort analysis
  • Additional observational EHR cohort analysis

Main finding

As reported in the abstract

P = 0.94

Observational data: associations, not effects.

Further findings

Mortality (EHR analysis) · 1 year

OutcomeOddsP value
Stroke (EHR analysis)5x greaterP < 0.001
AF prevalence after ROSC
33% · 39
Stroke (EHR analysis) — Majority of AF patients not anticoagulated
93%, p < 0.001
Stroke (EHR analysis) — Comorbidities greater in AF patients
p < 0.001

Original publication

Post-ROSC Atrial fibrillation is not associated with rearrest but is associated with stroke and mortality following out of hospital cardiac arrest. Resuscitation. Published 8 June 2024. doi:10.1016/j.resuscitation.2024.110270

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

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