Post-discharge monitoring strategies for atrial fibrillation in cardiac surgery patients
| Thursday, July 24, 2025 |
| 8:00 AM - 8:40 AM |
| Exhibition Hall and Foyer |
Overview
Presenter: Osama Jaradat
Speaker
Mr Osama Jaradat
Phd Candidate
University Of Wollongong
Post-discharge monitoring strategies for atrial fibrillation in cardiac surgery patients
8:00 AM - 8:40 AMAbstract
Background:
Atrial fibrillation (AF) is a common complication after cardiothoracic surgery, affecting up to 50% of patients. Most AF cases occur within the first few days’ post-surgery, but episodes can also develop after discharge, leading to frequent hospital readmissions. There is a growing need for effective monitoring strategies to detect AF in the post-discharge period.
Aims & objectives:
To synthesis the available literature on various mobile monitoring devices used to detect AF in adult cardiac surgery patients post-discharge from the hospital.
(1) To identify and determine potential devices that could be used in a prospective follow-up study to detect AF among adult cardiac surgery patients after they leave the hospital.
(2) To explore the implementation strategies used to promote successful uptake of mobile health approach among adult cardiac surgery patients post hospital discharge.
Methods:
This scoping review was planned, conducted, and reported using the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) Checklist.
Results:
A total of 1,256 de-duplicated studies were screened, and 102 studies underwent full-text review. Five articles were included: four prospective cohort studies, and one randomised clinical trial. Samples sizes ranged from 23 to 730 adults undergoing cardiac surgery, with follow-up between four weeks to three months post-discharge. Handheld and wearable ECG-based devices were the most used tools for AF detection. These devices demonstrated high sensitivity and specificity, effectively identifying AF episodes, reducing unplanned hospital visits, and improving clinical outcomes. Patient adherence to monitoring protocols was generally high, though variability in engagement was noted.
Conclusions:
Mobile monitoring technologies, particularly handheld and wearable devices, are effective for post-discharge AF detection in cardiac surgery patients. Integrating these tools into routine post-discharge care can improve patient outcomes. Future research should focus on long-term effectiveness and strategies to optimise patient engagement and implementation in clinical practice.
Atrial fibrillation (AF) is a common complication after cardiothoracic surgery, affecting up to 50% of patients. Most AF cases occur within the first few days’ post-surgery, but episodes can also develop after discharge, leading to frequent hospital readmissions. There is a growing need for effective monitoring strategies to detect AF in the post-discharge period.
Aims & objectives:
To synthesis the available literature on various mobile monitoring devices used to detect AF in adult cardiac surgery patients post-discharge from the hospital.
(1) To identify and determine potential devices that could be used in a prospective follow-up study to detect AF among adult cardiac surgery patients after they leave the hospital.
(2) To explore the implementation strategies used to promote successful uptake of mobile health approach among adult cardiac surgery patients post hospital discharge.
Methods:
This scoping review was planned, conducted, and reported using the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) Checklist.
Results:
A total of 1,256 de-duplicated studies were screened, and 102 studies underwent full-text review. Five articles were included: four prospective cohort studies, and one randomised clinical trial. Samples sizes ranged from 23 to 730 adults undergoing cardiac surgery, with follow-up between four weeks to three months post-discharge. Handheld and wearable ECG-based devices were the most used tools for AF detection. These devices demonstrated high sensitivity and specificity, effectively identifying AF episodes, reducing unplanned hospital visits, and improving clinical outcomes. Patient adherence to monitoring protocols was generally high, though variability in engagement was noted.
Conclusions:
Mobile monitoring technologies, particularly handheld and wearable devices, are effective for post-discharge AF detection in cardiac surgery patients. Integrating these tools into routine post-discharge care can improve patient outcomes. Future research should focus on long-term effectiveness and strategies to optimise patient engagement and implementation in clinical practice.
Biography
Osama Jaradat is a PhD candidate in Nursing at the University of Wollongong. He works as a Hospital Duty Manager and an Intensive Care Registered Nurse at Westmead Private Hospital. With extensive experience in critical care, leadership, and nursing education, he is dedicated to advancing clinical excellence and healthcare research.
