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RecruitingNCT06519747DETECT-POAFUpdated Nov 7, 2024

DETECTion of PeriOperative Atrial Fibrillation After Noncardiac Surgery

An observational study in Atrial Fibrillation and Atrial Flutter, sponsored by Population Health Research Institute. Recruiting at 6 sites in Canada. Open to participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2024-11-07.

Sponsored by Population Health Research Institute · Observational

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
750
Ages
18 Years to 120 Years
Sex
All
01

Study summary

This is a multicentre prospective cohort study where patients will receive up to 14 days of continuous ECG monitoring by wearing a portable monitoring device, starting within 72 hours after noncardiac surgery.

Read the detailed description

POAF commonly occurs after noncardiac surgery and is associated with adverse long-term outcomes. Despite this, patients with POAF are routinely being missed during clinical practice. Continuous ECG monitoring has the potential to enhance POAF detection and improve clinical care in affected patients. Based on this background, the DETECT-POAF study will determine the incidence of clinically important POAF in those receiving up to 14 days of continuous ECG monitoring within 35 days after noncardiac surgery.

02

Conditions studied

  • Atrial Fibrillation
  • Atrial Flutter

Keywords

  • Cardiac monitoring
03

In context

Atrial Fibrillation

4,009 studies on the registry are indexed under Atrial Fibrillation; 961 are open to participants now.

This study's planned enrollment of 750 is above the median of 300 across 1,400 observational studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Population Health Research Institute is the lead sponsor of 115 studies on the registry; 26 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults who have undergone noncardiac surgery

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Had undergone noncardiac surgery within the past 72 hours and requiring, or expected to require, at least one of the following:

    • an overnight hospital admission after surgery
    • day surgery that would result in a large enough physiological insult to be able to cause POAF. Procedures excluded include those that are conducted using local anesthesia alone, are less than 30 minutes in duration, and/or are judged to be of low physiologic insult by the local investigator.
  2. Have one of the following high-risk criteria;

    • age 55-64 years, and having either established cardiovascular disease, recent major vascular surgery, a CHA2DS2-VASc score ≥3, or an elevated postoperative troponin level;
    • age 65-74 years, and having either established cardiovascular disease, recent major vascular surgery, a CHA2DS2-VASc score ≥2, or an elevated postoperative troponin level; or
    • age ≥75 years;
  3. Provide written to participate.

Exclusion criteria

Exclusion Criteria:

  1. History of documented chronic (i.e., non-transient) AF before noncardiac surgery;
  2. Need for long-term systemic anticoagulation;
  3. Ongoing need for long-term dual antiplatelet treatment;
  4. to oral anticoagulation;
  5. Severe renal insufficiency;
  6. Severe liver cirrhosis;
  7. Acute stroke in the past 14 days;
  8. Underwent cardiac surgery in the past 35 days;
  9. History of nontraumatic intracranial, intraocular, or spinal bleeding;
  10. Hemorrhagic disorder or bleeding diathesis;
  11. Known \<1 year due to concomitant disease;
  12. Women who are pregnant, breastfeeding, or of not taking effective ;
  13. Expected to be non-compliant with follow-up and/or device use;
  14. Known contact allergy to monitoring device and/or its peripheral components;
  15. Previously enrolled in DETECT-POAF.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
750 participants (estimated)
Patient registry
No

Groups and cohorts

  • Study Cohort

    Participants will receive up to 14 days of continuous cardiac monitoring

    Device: Cardiac monitoring device

Interventions

  • DeviceCardiac monitoring device

    Portable, up to 14 days of monitoring

06

What researchers measure

Primary outcomes

  1. Incidence of clinically important post-operative atrial fibrillation/atrial flutter

    The primary outcome is clinically important POAF, defined as: 1. Atrial fibrillation (AF) documented by a 12-lead ECG; 2. Confirmed AF (e.g., rhythm strip) that results in symptoms of angina, heart failure, or symptomatic hypotension; 3. Confirmed AF that requires treatment with a rate controlling drug, antiarrhythmic drug, or electrical cardioversion; or, 4. Confirmed continuous AF episode with a minimum duration of 1 hour.

    Time frame: Within 35 days of non-cardiac surgery

Secondary outcomes

  1. Incidence of sustained ventricular arrhythmia

    Time frame: Within 35 days of non-cardiac surgery

  2. Incidence of sinus node dysfunction

    Time frame: Within 35 days of non-cardiac surgery

  3. Incidence of high-grade atrioventricular block

    Time frame: Within 35 days of non-cardiac surgery

  4. Incidence of death

    Time frame: Within 35 days of non-cardiac surgery

  5. Incidence of clinically important post-operative atrial fibrillation/atrial flutter

    Time frame: Within 14 days of continuous cardiac monitoring

  6. Incidence of clinically important post-operative atrial fibrillation/atrial flutter detected by clinical monitoring only

    Time frame: Within 35 days of non-cardiac surgery

  7. Incidence of clinically important post-operative atrial fibrillation/atrial flutter define with minimum duration of 6 minutes

    Time frame: Within 35 days of non-cardiac surgery

  8. Incidence of clinically important post-operative atrial fibrillation/atrial flutter detected by study device monitoring only

    Time frame: Within 35 days of non-cardiac surgery

  9. Proportion of participants meeting eligibility criteria for ASPIRE-AF study

    Time frame: Within 35 days of non-cardiac surgery

  10. Multivariate odds ratio of risk factors associated with the occurrence of clinically important POAF

    A multivariate logistic regression analysis of age, sex, surgical urgency, type of surgery, vascular disease, chronic kidney disease, and heart failure.

    Time frame: Within 35 days of non-cardiac surgery

07

Study locations

2 of 6 sites recruiting
  • Hamilton General Hospital
    Hamilton, Ontario L8L 2X2, Canada
    Recruiting
    • Research Coordinator · Contactgregus@hhsc.ca · 905-521-2100
    • Mohamed Panju, MD · Contact
  • St. Joseph's Healthcare Hamilton
    Hamilton, Ontario L8N 4A6, Canada
    Not yet recruiting
    • Vikas Tandon, MD · Contact
  • Juravinski Hospital
    Hamilton, Ontario L8V 1C3, Canada
    Recruiting
    • Ameen Patel, MD · Contact
  • London Health Sciences Centre - University Hospital
    London, Ontario N6A 5A5, Canada
    Not yet recruiting
    • Marko Mrkobrada, MD · Contact
  • Niagara Health System - St. Catharine's Site
    St. Catharines, Ontario L2S 0A9, Canada
    Not yet recruiting
    • Leonard Blair, MD · Contact
  • Hôpital Fleurimont du Centre hospitalier universitaire de Sherbrooke
    Sherbrooke, Quebec J1H 5H3, Canada
    Not yet recruiting
    • Félix Ayala-Paredes, MD · Contact
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 7, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06519747
Responsible party
Sponsor
First posted
Jul 25, 2024
Start date
Oct 15, 2024
Primary completion
Aug 15, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Nov 7, 2024

Study contacts

Vitheya Thanabalan
Contact
detectpoaf@phri.ca
+1 905-296-2710
Kate Brady
Contact
detectpoaf@phri.ca
David Conen, MD, MPH
principal investigator · Population Health Research Institute
Michael K Wang, MD
principal investigator · Population Health Research Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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