Prevalence, Outcomes, and Risk Factors of New-Onset Atrial Fibrillation in Critically Ill Patient with Sepsis and Septic Shock
Elhadad, M., Rezk, Y., Khames, M., Okab, E. (2025). Prevalence, Outcomes, and Risk Factors of New-Onset Atrial Fibrillation in Critically Ill Patient with Sepsis and Septic Shock. EKB Journal Management System, (), -. doi: 10.21608/bmfj.2025.401755.2524
Mona A. Elhadad; Yousry E. Rezk; Mustafa M. Khames; Engy A. Okab. "Prevalence, Outcomes, and Risk Factors of New-Onset Atrial Fibrillation in Critically Ill Patient with Sepsis and Septic Shock". EKB Journal Management System, , , 2025, -. doi: 10.21608/bmfj.2025.401755.2524
Elhadad, M., Rezk, Y., Khames, M., Okab, E. (2025). 'Prevalence, Outcomes, and Risk Factors of New-Onset Atrial Fibrillation in Critically Ill Patient with Sepsis and Septic Shock', EKB Journal Management System, (), pp. -. doi: 10.21608/bmfj.2025.401755.2524
Elhadad, M., Rezk, Y., Khames, M., Okab, E. Prevalence, Outcomes, and Risk Factors of New-Onset Atrial Fibrillation in Critically Ill Patient with Sepsis and Septic Shock. EKB Journal Management System, 2025; (): -. doi: 10.21608/bmfj.2025.401755.2524

Prevalence, Outcomes, and Risk Factors of New-Onset Atrial Fibrillation in Critically Ill Patient with Sepsis and Septic Shock

Benha Medical Journal
Articles in Press, Accepted Manuscript, Available Online from 06 August 2025  XML PDF (775.2 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2025.401755.2524
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Authors
Mona A. Elhadad1; Yousry E. Rezk2; Mustafa M. Khames email 3; Engy A. Okab4
1Lecturer of Anaesthesia and Intensive Care, Faculty of Medicine, Benha University
2Professor of Cardiothoracic Surgery, Faculty of Medicine, Benha University
3M.B.B.Ch, Faculty of Medicine, Benha University
4Lecturer of Critical Care Medicine, Faculty of Medicine, Benha University
Abstract
Background: Sepsis is known as a life-threatening organ dysfunction that results from a dysregulated host response to infection. This study aimed to evaluate the impact on hemodynamics and patient outcome of new onset atrial fibrillation (NOAF) during sepsis and septic shock, determine the prevalence of NOAF, and identify the factors associated with it. Methods: The study was a prospective observational study that was carried out on 80 patients who were admitted to the intensive care unit (ICU) with diagnosis of sepsis or septic shock at Benha University Hospital from June 2023 to May 2024. Results: Hospital stay of the studied patients ranged from 3 to 28 days with a mean of 11.81± 5.71 days and median (IQR) 10 (8 to 15). The mortality rate in the current study was 20 (25%). Conclusion: About 30% of intensive care unit (ICU) patients with sepsis or septic shock experienced NOAF, according to our study's findings. This occurred most frequently in the initial days after admission. Patients experiencing atrial fibrillation often needed medication or electrical interventions to lower their heart rates. A longer time spent in the hospital and an increase in complications like renal damage and respiratory failure were both linked to AF. In order to improve outcomes for septic patients, these findings emphasize the significance of early detection and management of AF.
Keywords
Prevalence; Outcomes; Risk factors; New-onset atrial fibrillation; Critically Ill
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