Research priorities for the study of atrial fibrillation during acute and critical illness: recommendations from the Symposium on Atrial Fibrillation in Acute and Critical Care
Atrial fibrillation (AF) is a common arrhythmia encountered in acute and critical illness and is associated with poor short and long-term outcomes. Given the consequences of developing AF, research into prevention, prediction and treatment of this arrhythmia in the critically ill are of great potential benefit, however, study of AF in critically ill patients faces unique challenges, leading to a sparse evidence base to guide management in this population. Major obstacles to the study of AF in acute and critical illness include absence of a common definition, challenges in designing studies that capture complex etiology and assess causality, lack of a clear outcome set, difficulites in recruitment in acute environments with respect to timing, consent, and workflow, and failure to embed studies into clinical care platforms and capitalize on emerging technologies. Collaborative effort by researchers, clinicians, and stakeholders should be undertaken to address these challenges, both through interdisciplinary cooperation for the optimization of research efficiency and advocacy to advance the understanding of this common and complex arrhythmia, resulting in improved patient care and outcomes. The Symposium on Atrial Fibrillation in Acute and Critical Care was convened to address some of these challenges and propose potential solutions.
Authors
- Michael Ke Wang (ORCID: https://orcid.org/0000-0002-4949-3235)
- Jonathan Bedford (ORCID: https://orcid.org/0000-0001-9455-022X)
- Brian Johnston (ORCID: https://orcid.org/0000-0003-1634-3297)
- Marco L.A. Sivilotti (ORCID: https://orcid.org/0000-0001-6641-1118)
- Allan J. Walkey (ORCID: https://orcid.org/0000-0003-4685-6894)
- C. Landry
- Salmaan Kanji (ORCID: https://orcid.org/0000-0003-0594-0360)
- Martin Balík (ORCID: https://orcid.org/0000-0003-1864-2143)
- Jennifer Tsang (ORCID: https://orcid.org/0000-0002-1809-0505)
- Anna Seeley (ORCID: https://orcid.org/0000-0001-5354-5889)
- John Muscedere
- William F. McIntyre (ORCID: https://orcid.org/0000-0001-6082-7542)
- Brian H. Cuthbertson (ORCID: https://orcid.org/0000-0003-4174-9424)
- Tessa Garside
- David Conen (ORCID: https://orcid.org/0000-0002-2459-5251)
- David M. Maslove (ORCID: https://orcid.org/0000-0002-0765-7158)
- Marlies Ostermann (ORCID: https://orcid.org/0000-0001-9500-9080)
- Stephanie Sibley (ORCID: https://orcid.org/0000-0003-2229-9747)
- Ingeborg Welters (ORCID: https://orcid.org/0000-0002-3408-8798)
- Clare Atzema (ORCID: https://orcid.org/0000-0002-7236-5522)
- Frank Scheuemeyer
Institutions
- The University of Sydney (AU)
- St Thomas' Hospital (GB)
- University of British Columbia (CA)
- University of Liverpool (GB)
- University of Massachusetts Chan Medical School (US)
- King's College London (GB)
- University of Toronto (CA)
- Queen's University (CA)
- Charles University (CZ)
- Royal North Shore Hospital (AU)
- Ottawa Hospital (CA)
- Population Health Research Institute (CA)
- Niagara Health System (CA)
- University of Oxford (GB)
- Liverpool Heart and Chest Hospital (GB)
- The George Institute for Global Health (AU)
- Institute for Work & Health (CA)
- Kingston Health Sciences Centre (CA)
- Sunnybrook Hospital (CA)
- Ottawa Hospital Research Institute (CA)
- Sunnybrook Research Institute
- Liverpool John Moores University (GB)
- McMaster University (CA)
Publication Details
- Journal
- BMC Proceedings
- Published
- 2024-11-05
- DOI
- https://doi.org/10.1186/s12919-024-00309-x
- Citations
- 2
- Primary Topic
- Atrial Fibrillation Management and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.80
Funders
- National Institute for Health and Care Research