Weymann, Alexander, Ali-Hasan-Al-Saegh, Sadeq ORCID: 0000-0001-6312-1705, Popov, Aron-Frederik ORCID: 0000-0003-4226-3004, Sabashnikov, Anton, Mirhosseini, Seyed Jalil, Liu, Tong, Tse, Gary ORCID: 0000-0001-5510-1253, Lotfaliani, Mohammadreza, Ghanei, Azam, Testa, Luca, D'Ascenzo, Fabrizio ORCID: 0000-0002-6646-9317, Benedetto, Umberto ORCID: 0000-0002-7074-7949, Dehghan, Hamidreza, Roever, Leonardo, Barros de Oliveira Sa, Michel Pompeu, Baker, William L., Yavuz, Senol ORCID: 0000-0001-5246-0808, Zeriouh, Mohamed, Mashhour, Ahmed ORCID: 0000-0003-4496-3610, Nombela-Franco, Luis, Jang, Jae-Sik, Meng, Lei, Gong, Mengqi, Deshmukh, Abhishek J., Palmerini, Tullio, Linde, Cecilia, Filipiak, Krzysztof J., Biondi-Zoccai, Giuseppe ORCID: 0000-0001-6103-8510, Calkins, Hugh and Stone, Gregg W. (2018). Haematological indices as predictors of atrial fibrillation following isolated coronary artery bypass grafting, valvular surgery, or combined procedures: a systematic review with meta-analysis. Kardiol. Pol., 76 (1). S. 107 - 119. WARSZAWA: POLSKIE TOWARZYSTOWO KARDIOLOGICZNE. ISSN 1897-4279

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Abstract

Background: New postoperative atrial fibrillation (POAF) is one of the most critical and common complications after cardiovascular surgery precipitating early and late morbidities. Complete blood count (CBC) is an imperative blood test in clinical practice, routinely used in the examination of cardiovascular diseases. Aim: This systematic review with meta-analysis aimed to determine the strength of evidence for evaluating the association of haematological indices in CBC tests with atrial fibrillation following isolated coronary artery bypass graft (CABG), isolated valvular surgery, or a combination of these treatments. Methods: We conducted a meta-analysis of studies evaluating pre-and postoperative haematological indices in patients with POAF. A comprehensive subgroup analysis was performed to explore potential sources of heterogeneity. Results: A literature search of all major databases retrieved 732 studies. After screening, 22 studies were analysed including a total of 6098 patients. Pooled analysis showed preoperative platelet count (PC) (weighted mean difference [WMD] = -7.07 x 10(9)/L and p < 0.001), preoperative mean platelet volume (MPV) (WMD = 0.53 FL and p < 0.001), preoperative white blood cell count (WBC) (WMD = 0.130 x 10(9)/L and p < 0.001), preoperative neutrophil-to-lymphocyte ratio (NLR) (WMD = 0.33 and p < 0.001), preoperative red blood cell distribution width (RDW) (WMD = 0.36% and p < 0.001), postoperative WBC (WMD = 1.36 x 10(9)/L and p < 0.001), and postoperative NLR (WMD = 0.74 and p < 0.001) as associated factors with POAF. Conclusions: Haematological indices may predict the risk of POAF before surgery. These easily-performed tests should definitely be taken into account in patients undergoing isolated CABG, valvular surgery, or combined procedures.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Weymann, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ali-Hasan-Al-Saegh, SadeqUNSPECIFIEDorcid.org/0000-0001-6312-1705UNSPECIFIED
Popov, Aron-FrederikUNSPECIFIEDorcid.org/0000-0003-4226-3004UNSPECIFIED
Sabashnikov, AntonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mirhosseini, Seyed JalilUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Liu, TongUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tse, GaryUNSPECIFIEDorcid.org/0000-0001-5510-1253UNSPECIFIED
Lotfaliani, MohammadrezaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ghanei, AzamUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Testa, LucaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
D'Ascenzo, FabrizioUNSPECIFIEDorcid.org/0000-0002-6646-9317UNSPECIFIED
Benedetto, UmbertoUNSPECIFIEDorcid.org/0000-0002-7074-7949UNSPECIFIED
Dehghan, HamidrezaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roever, LeonardoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Barros de Oliveira Sa, Michel PompeuUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baker, William L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Yavuz, SenolUNSPECIFIEDorcid.org/0000-0001-5246-0808UNSPECIFIED
Zeriouh, MohamedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mashhour, AhmedUNSPECIFIEDorcid.org/0000-0003-4496-3610UNSPECIFIED
Nombela-Franco, LuisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jang, Jae-SikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Meng, LeiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gong, MengqiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Deshmukh, Abhishek J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Palmerini, TullioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Linde, CeciliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Filipiak, Krzysztof J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Biondi-Zoccai, GiuseppeUNSPECIFIEDorcid.org/0000-0001-6103-8510UNSPECIFIED
Calkins, HughUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stone, Gregg W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-200714
DOI: 10.5603/KP.a2017.0179
Journal or Publication Title: Kardiol. Pol.
Volume: 76
Number: 1
Page Range: S. 107 - 119
Date: 2018
Publisher: POLSKIE TOWARZYSTOWO KARDIOLOGICZNE
Place of Publication: WARSZAWA
ISSN: 1897-4279
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
CELL DISTRIBUTION WIDTH; MEAN PLATELET VOLUME; NEW-ONSET; COMPREHENSIVE METAANALYSIS; CARDIAC-SURGERY; COUNT; DISEASE; RATIO; ASSOCIATION; RISKMultiple languages
Cardiac & Cardiovascular SystemsMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/20071

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