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Association between new-onset postoperative atrial fibrillation and 1-year mortality in elderly patients after hip arthroplasty

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单位: [1]Surgery Intensive Care Unit, China-Japan Friendship Hospital, Beijing, China [2]Department of Orthopedic Surgery, China-Japan Friendship Hospital, Beijing, China [3]Department of Cardiology, China-Japan Friendship Hospital, Beijing, China
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关键词: Elderly Postoperative atrial fibrillation Mortality Hip arthroplasty

摘要:
Background The purpose of this study is to determine whether new-onset postoperative atrial fibrillation (NOPAF) among patients after hip arthroplasty can predict 1-year mortality. Methods All patients over 65 years who underwent hip arthroplasty from January 2013 to December 2017 in a Chinese tertiary hospital were retrospectively analyzed. Patients with paroxysmal and persistent atrial fibrillation were ruled out. 2438 patients were identified to be eligible. The primary endpoint was 1-year mortality after the arthroplasty. Results Among the 2438 patients, 101 (4.1%) had NOPAF and 2337 (95.9%) had not. Only the current use of beta blocker could predict the occurrence of NOPAF after hip arthroplasty. 1-year mortality for patients with NOPAF was significantly higher than that for patients without NOPAF (70.3% vs 19.0%; p < 0.001). Anti-arrhythmic and anticoagulant treatments were related to 1-year mortality, respectively. With multivariate analysis, NOPA was the most significant variable related to 1-year mortality (hazard ratio 7.8, 95% CI 2.9-24.6). Conclusions Among elderly patients after hip arthroplasty, 1-year mortality is increased significantly for patients with NOPAF.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 老年医学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 老年医学
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出版当年[2018]版:
Q3 GERIATRICS & GERONTOLOGY
最新[2023]版:
Q2 GERIATRICS & GERONTOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2018版] 出版当年五年平均[2014-2018] 出版前一年[2017版] 出版后一年[2019版]

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第一作者单位: [1]Surgery Intensive Care Unit, China-Japan Friendship Hospital, Beijing, China
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