Bae SJ, Kwon CH, Kim TY, Chang H, Kim BS, Kim SH, Kim HJ. Predictors and prognostic impact of post-operative atrial fibrillation in patients with hip fracture surgery. World J Clin Cases 2022; 10(11): 3379-3388 [PMID: 35611197 DOI: 10.12998/wjcc.v10.i11.3379]
Corresponding Author of This Article
Chang Hee Kwon, MD, PhD, Assistant Professor, Internal Medicine, Konkuk University Medical Center, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, South Korea. vertex_77@naver.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 16, 2022; 10(11): 3379-3388 Published online Apr 16, 2022. doi: 10.12998/wjcc.v10.i11.3379
Predictors and prognostic impact of post-operative atrial fibrillation in patients with hip fracture surgery
Seong Jun Bae, Chang Hee Kwon, Tae-Young Kim, Haseong Chang, Bum Sung Kim, Sung Hea Kim, Hyun-Joong Kim
Seong Jun Bae, Chang Hee Kwon, Haseong Chang, Bum Sung Kim, Sung Hea Kim, Hyun-Joong Kim, Department of Internal Medicine, Konkuk University Medical Center, Seoul 05030, South Korea
Tae-Young Kim, Department of Orthopaedic Surgery, Konkuk University Medical Center, Seoul 05030, South Korea
Author contributions: Kwon CH conceptioned and designed the research study; Bae SJ acquisitioned the data; Bae SJ and Kwon CH analysised and interpreted the data; Bae SJ and Kwon CH prepared the manuscript; Kwon CH, Bae SJ, Kim TY, Chang H, Kim BS, Kim SH, and Kim HJ revised the manuscript.
Institutional review board statement: The present study protocol was reviewed and approved by the Institutional Review Board of the Konkuk University Medical Center (protocol No. KUMC 2019-07-053). The requirement for informed consent was waived because de-identified information was retrieved retrospectively.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
Open-Access: 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/
Corresponding author: Chang Hee Kwon, MD, PhD, Assistant Professor, Internal Medicine, Konkuk University Medical Center, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, South Korea. vertex_77@naver.com
Received: October 15, 2021 Peer-review started: October 15, 2021 First decision: December 17, 2021 Revised: December 18, 2021 Accepted: February 17, 2022 Article in press: February 27, 2022 Published online: April 16, 2022
ARTICLE HIGHLIGHTS
Research perspectives
Physicians have to carefully observe the occurrence of atrial fibrillation (AF) after hip fracture surgery (HFS) in elderly patients.
Research conclusions
Age, chronic obstructive pulmonary disease (COPD) and elevated E/e’ ratio were found as significant predictors of post-operative AF (POAF) in HFS patients. Patients with POAF significantly experienced intensive care unit admission and incident congestive heart failure during hospitalization.
Research results
The major findings of the present study are as follows: (1) The incidence of POAF was 20 (8.2%) among 245 patients with HFS; (2) Age, chronic obstructive pulmonary disease, and elevated E/e’ ratio were significant predictors of POAF in these patients; (3) Incidences of intensive care unit admission and congestive heart failure during hospitalization were significantly higher in patients with POAF; and (4) POAF was significantly associated with intensive care unit admission and incident congestive heart failure following HFS.
Research methods
This retrospective study involved 245 patients who underwent HFS in the Konkuk University Medical Center between August 2014 and November 2016. We evaluated the incidence, risk factors, and prognosis impact during hospitalization following HFS.
Research objectives
We aimed to investigate the incidence, predictors, and hospital prognosis of POAF in HFS patients.
Research motivation
People are getting older, and many elderly patients have been undergoing HFS. Atrial fibrillation is the most common arrhythmia developing in post-operative patients. So, we was wondering if POAF may affect in-hospital outcomes in patients underwent HFS.
Research background
Limited data are available regarding pre-operative risk factors and prognostic impact of post-operative atrial fibrillation following hip fracture surgery in Korean population.
