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Predictors and prognostic impact of post-operative atrial fibrillation in patients with hip fracture surgery

BACKGROUND: Atrial fibrillation (AF) is the most common arrhythmia developing in post-operative patients. Limited data are available regarding pre-operative risk factors and prognostic impact of post-operative AF (POAF) following hip fracture surgery (HFS) in Korean population. AIM: We aimed to inve...

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Autores principales: Bae, Seong Jun, Kwon, Chang Hee, Kim, Tae-Young, Chang, Haseong, Kim, Bum Sung, Kim, Sung Hea, Kim, Hyun-Joong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9048557/
https://www.ncbi.nlm.nih.gov/pubmed/35611197
http://dx.doi.org/10.12998/wjcc.v10.i11.3379
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author Bae, Seong Jun
Kwon, Chang Hee
Kim, Tae-Young
Chang, Haseong
Kim, Bum Sung
Kim, Sung Hea
Kim, Hyun-Joong
author_facet Bae, Seong Jun
Kwon, Chang Hee
Kim, Tae-Young
Chang, Haseong
Kim, Bum Sung
Kim, Sung Hea
Kim, Hyun-Joong
author_sort Bae, Seong Jun
collection PubMed
description BACKGROUND: Atrial fibrillation (AF) is the most common arrhythmia developing in post-operative patients. Limited data are available regarding pre-operative risk factors and prognostic impact of post-operative AF (POAF) following hip fracture surgery (HFS) in Korean population. AIM: We aimed to investigate the incidence, predictors, and hospital prognosis of POAF in HFS patients. METHODS: This study included 245 patients without history of AF who underwent HFS between August 2014 and November 2016. POAF was defined as new-onset AF that occurred during hospitalization after HFS. RESULTS: Twenty patients (8.2%) experienced POAF after HFS. POAF developed on median post-operative day 2 (interquartile range, 1–3). Multivariable logistic regression analysis showed that age [odds ratio (OR), 1.111; 95% confidence interval (CI), 1.022–1.209], chronic obstructive pulmonary disease (COPD) (OR, 6.352; 95%CI, 1.561–25.841) and E/e’ ratio (OR, 1.174; 95%CI, 1.002–1.376) were significant predictors of POAF. Patients with POAF had a significantly higher intensive care unit admission rate (55.0% vs 14.7%, P < 0.001) and incidence of congestive heart failure (45.0% vs 10.7%, P < 0.001). In multivariable logistic regression analysis, POAF was significantly associated with increased incidence of congestive heart failure (OR, 4.856; 95%CI, 1.437–16.411) and intensive care unit admission (OR, 6.615; 95%CI, 2.112–20.718). CONCLUSION: POAF was frequently developed in elderly patients following HFS. Age, COPD and elevated E/e’ ratio were found as significant predictors of POAF in HFS patients. Patients with POAF significantly experienced intensive care unit admission and incident congestive heart failure during hospitalization.
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spelling pubmed-90485572022-05-23 Predictors and prognostic impact of post-operative atrial fibrillation in patients with hip fracture surgery Bae, Seong Jun Kwon, Chang Hee Kim, Tae-Young Chang, Haseong Kim, Bum Sung Kim, Sung Hea Kim, Hyun-Joong World J Clin Cases Retrospective Study BACKGROUND: Atrial fibrillation (AF) is the most common arrhythmia developing in post-operative patients. Limited data are available regarding pre-operative risk factors and prognostic impact of post-operative AF (POAF) following hip fracture surgery (HFS) in Korean population. AIM: We aimed to investigate the incidence, predictors, and hospital prognosis of POAF in HFS patients. METHODS: This study included 245 patients without history of AF who underwent HFS between August 2014 and November 2016. POAF was defined as new-onset AF that occurred during hospitalization after HFS. RESULTS: Twenty patients (8.2%) experienced POAF after HFS. POAF developed on median post-operative day 2 (interquartile range, 1–3). Multivariable logistic regression analysis showed that age [odds ratio (OR), 1.111; 95% confidence interval (CI), 1.022–1.209], chronic obstructive pulmonary disease (COPD) (OR, 6.352; 95%CI, 1.561–25.841) and E/e’ ratio (OR, 1.174; 95%CI, 1.002–1.376) were significant predictors of POAF. Patients with POAF had a significantly higher intensive care unit admission rate (55.0% vs 14.7%, P < 0.001) and incidence of congestive heart failure (45.0% vs 10.7%, P < 0.001). In multivariable logistic regression analysis, POAF was significantly associated with increased incidence of congestive heart failure (OR, 4.856; 95%CI, 1.437–16.411) and intensive care unit admission (OR, 6.615; 95%CI, 2.112–20.718). CONCLUSION: POAF was frequently developed in elderly patients following HFS. Age, COPD and elevated E/e’ ratio were found as significant predictors of POAF in HFS patients. Patients with POAF significantly experienced intensive care unit admission and incident congestive heart failure during hospitalization. Baishideng Publishing Group Inc 2022-04-16 2022-04-16 /pmc/articles/PMC9048557/ /pubmed/35611197 http://dx.doi.org/10.12998/wjcc.v10.i11.3379 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Retrospective Study
Bae, Seong Jun
Kwon, Chang Hee
Kim, Tae-Young
Chang, Haseong
Kim, Bum Sung
Kim, Sung Hea
Kim, Hyun-Joong
Predictors and prognostic impact of post-operative atrial fibrillation in patients with hip fracture surgery
title Predictors and prognostic impact of post-operative atrial fibrillation in patients with hip fracture surgery
title_full Predictors and prognostic impact of post-operative atrial fibrillation in patients with hip fracture surgery
title_fullStr Predictors and prognostic impact of post-operative atrial fibrillation in patients with hip fracture surgery
title_full_unstemmed Predictors and prognostic impact of post-operative atrial fibrillation in patients with hip fracture surgery
title_short Predictors and prognostic impact of post-operative atrial fibrillation in patients with hip fracture surgery
title_sort predictors and prognostic impact of post-operative atrial fibrillation in patients with hip fracture surgery
topic Retrospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9048557/
https://www.ncbi.nlm.nih.gov/pubmed/35611197
http://dx.doi.org/10.12998/wjcc.v10.i11.3379
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