Incidence and 1-year outcomes of perioperative atrial arrhythmia in elderly adults after hip fracture surgery

Bhanu P. Gupta, Rachel C. Steckelberg, Rachel E. Gullerud, Paul M. Huddleston, Lisa L. Kirkland, R. Scott Wright, Jeanne M. Huddleston

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives To determine the incidence and 1-year outcomes of an elderly population with perioperative atrial arrhythmia (PAA) within 7 days of hip fracture surgery. Design Retrospective cohort study. Setting The Rochester Epidemiology Project (REP). Participants Elderly adults consecutive undergoing hip fracture repair from 1988 to 2002 in Olmsted County, Minnesota (N = 1,088, mean age 84.0 ± 7.4, 80.2% female). Measurements Baseline clinical variables were analyzed in relation to survival using Cox proportional hazards methods for comparison. Results Sixty-one participants (5.6%) developed PAA within the first 7 days. During 1 year of follow-up, 239 (22%) participants died. PAA was associated with greater mortality (45% vs 21%; hazard ratio (HR) = 2.8, 95% confidence interval (CI) = 1.9-4.2). Other mortality risk factors were male sex (HR = 2.0, 95% CI = 1.5-2.6), congestive heart failure (HR = 2.1, 95% CI = 1.7-2.8), chronic renal insufficiency (HR = 2.0, 95% CI = 1.5-2.8), dementia (HR = 2.9, 95% CI = 2.2-3.7), and American Society of Anesthesiologists risk Class III, IV, or V (HR = 3.3, 95% CI = 1.9-5.9). Conclusion Elderly adults undergoing hip fracture surgery who develop PAA within 7 days have significantly higher 1-year mortality than those who do not. Further studies are indicated to determine whether prevention of PAA will reduce mortality in this population.

Original languageEnglish (US)
Pages (from-to)2269-2274
Number of pages6
JournalJournal of the American Geriatrics Society
Volume63
Issue number11
DOIs
StatePublished - Nov 1 2015

Fingerprint

Hip Fractures
Cardiac Arrhythmias
Confidence Intervals
Incidence
Mortality
Sex Ratio
Chronic Renal Insufficiency
Population
Dementia
Epidemiology
Cohort Studies
Heart Failure
Retrospective Studies

Keywords

  • aged
  • cardiac arrhythmias
  • hip fractures
  • postoperative complication

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Gupta, B. P., Steckelberg, R. C., Gullerud, R. E., Huddleston, P. M., Kirkland, L. L., Wright, R. S., & Huddleston, J. M. (2015). Incidence and 1-year outcomes of perioperative atrial arrhythmia in elderly adults after hip fracture surgery. Journal of the American Geriatrics Society, 63(11), 2269-2274. https://doi.org/10.1111/jgs.13789

Incidence and 1-year outcomes of perioperative atrial arrhythmia in elderly adults after hip fracture surgery. / Gupta, Bhanu P.; Steckelberg, Rachel C.; Gullerud, Rachel E.; Huddleston, Paul M.; Kirkland, Lisa L.; Wright, R. Scott; Huddleston, Jeanne M.

In: Journal of the American Geriatrics Society, Vol. 63, No. 11, 01.11.2015, p. 2269-2274.

Research output: Contribution to journalArticle

Gupta, BP, Steckelberg, RC, Gullerud, RE, Huddleston, PM, Kirkland, LL, Wright, RS & Huddleston, JM 2015, 'Incidence and 1-year outcomes of perioperative atrial arrhythmia in elderly adults after hip fracture surgery', Journal of the American Geriatrics Society, vol. 63, no. 11, pp. 2269-2274. https://doi.org/10.1111/jgs.13789
Gupta, Bhanu P. ; Steckelberg, Rachel C. ; Gullerud, Rachel E. ; Huddleston, Paul M. ; Kirkland, Lisa L. ; Wright, R. Scott ; Huddleston, Jeanne M. / Incidence and 1-year outcomes of perioperative atrial arrhythmia in elderly adults after hip fracture surgery. In: Journal of the American Geriatrics Society. 2015 ; Vol. 63, No. 11. pp. 2269-2274.
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abstract = "Objectives To determine the incidence and 1-year outcomes of an elderly population with perioperative atrial arrhythmia (PAA) within 7 days of hip fracture surgery. Design Retrospective cohort study. Setting The Rochester Epidemiology Project (REP). Participants Elderly adults consecutive undergoing hip fracture repair from 1988 to 2002 in Olmsted County, Minnesota (N = 1,088, mean age 84.0 ± 7.4, 80.2{\%} female). Measurements Baseline clinical variables were analyzed in relation to survival using Cox proportional hazards methods for comparison. Results Sixty-one participants (5.6{\%}) developed PAA within the first 7 days. During 1 year of follow-up, 239 (22{\%}) participants died. PAA was associated with greater mortality (45{\%} vs 21{\%}; hazard ratio (HR) = 2.8, 95{\%} confidence interval (CI) = 1.9-4.2). Other mortality risk factors were male sex (HR = 2.0, 95{\%} CI = 1.5-2.6), congestive heart failure (HR = 2.1, 95{\%} CI = 1.7-2.8), chronic renal insufficiency (HR = 2.0, 95{\%} CI = 1.5-2.8), dementia (HR = 2.9, 95{\%} CI = 2.2-3.7), and American Society of Anesthesiologists risk Class III, IV, or V (HR = 3.3, 95{\%} CI = 1.9-5.9). Conclusion Elderly adults undergoing hip fracture surgery who develop PAA within 7 days have significantly higher 1-year mortality than those who do not. Further studies are indicated to determine whether prevention of PAA will reduce mortality in this population.",
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AU - Gupta, Bhanu P.

AU - Steckelberg, Rachel C.

AU - Gullerud, Rachel E.

AU - Huddleston, Paul M.

AU - Kirkland, Lisa L.

AU - Wright, R. Scott

AU - Huddleston, Jeanne M.

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N2 - Objectives To determine the incidence and 1-year outcomes of an elderly population with perioperative atrial arrhythmia (PAA) within 7 days of hip fracture surgery. Design Retrospective cohort study. Setting The Rochester Epidemiology Project (REP). Participants Elderly adults consecutive undergoing hip fracture repair from 1988 to 2002 in Olmsted County, Minnesota (N = 1,088, mean age 84.0 ± 7.4, 80.2% female). Measurements Baseline clinical variables were analyzed in relation to survival using Cox proportional hazards methods for comparison. Results Sixty-one participants (5.6%) developed PAA within the first 7 days. During 1 year of follow-up, 239 (22%) participants died. PAA was associated with greater mortality (45% vs 21%; hazard ratio (HR) = 2.8, 95% confidence interval (CI) = 1.9-4.2). Other mortality risk factors were male sex (HR = 2.0, 95% CI = 1.5-2.6), congestive heart failure (HR = 2.1, 95% CI = 1.7-2.8), chronic renal insufficiency (HR = 2.0, 95% CI = 1.5-2.8), dementia (HR = 2.9, 95% CI = 2.2-3.7), and American Society of Anesthesiologists risk Class III, IV, or V (HR = 3.3, 95% CI = 1.9-5.9). Conclusion Elderly adults undergoing hip fracture surgery who develop PAA within 7 days have significantly higher 1-year mortality than those who do not. Further studies are indicated to determine whether prevention of PAA will reduce mortality in this population.

AB - Objectives To determine the incidence and 1-year outcomes of an elderly population with perioperative atrial arrhythmia (PAA) within 7 days of hip fracture surgery. Design Retrospective cohort study. Setting The Rochester Epidemiology Project (REP). Participants Elderly adults consecutive undergoing hip fracture repair from 1988 to 2002 in Olmsted County, Minnesota (N = 1,088, mean age 84.0 ± 7.4, 80.2% female). Measurements Baseline clinical variables were analyzed in relation to survival using Cox proportional hazards methods for comparison. Results Sixty-one participants (5.6%) developed PAA within the first 7 days. During 1 year of follow-up, 239 (22%) participants died. PAA was associated with greater mortality (45% vs 21%; hazard ratio (HR) = 2.8, 95% confidence interval (CI) = 1.9-4.2). Other mortality risk factors were male sex (HR = 2.0, 95% CI = 1.5-2.6), congestive heart failure (HR = 2.1, 95% CI = 1.7-2.8), chronic renal insufficiency (HR = 2.0, 95% CI = 1.5-2.8), dementia (HR = 2.9, 95% CI = 2.2-3.7), and American Society of Anesthesiologists risk Class III, IV, or V (HR = 3.3, 95% CI = 1.9-5.9). Conclusion Elderly adults undergoing hip fracture surgery who develop PAA within 7 days have significantly higher 1-year mortality than those who do not. Further studies are indicated to determine whether prevention of PAA will reduce mortality in this population.

KW - aged

KW - cardiac arrhythmias

KW - hip fractures

KW - postoperative complication

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