Association between atrial fibrillation and hip fractures and the implications for hip fracture patients: a systematic review

Rabieh Abu‐Assi; Jed Campbell; Stephen Bacchi; Tiffany K. Gill; Daniel George; Mellick Chehade

doi:10.1111/ans.15460

journal article Oct 18, 2019

Association between atrial fibrillation and hip fractures and the implications for hip fracture patients: a systematic review

Rabieh Abu‐Assi Jed Campbell

Stephen Bacchi

Tiffany K. Gill Daniel George Mellick Chehade

ANZ Journal of Surgery Vol. 90 No. 4 pp. 448-453 · Wiley

View at Publisher Save 10.1111/ans.15460

Abstract

AbstractBackgroundAtrial fibrillation (AF) and hip fractures are both prevalent in the elderly population. The aim of this study was to systematically review the literature regarding the association between AF and hip fractures, and the impact of AF on hip fracture prognosis.MethodsThe literature search was performed using PubMed, MEDLINE, Embase and Scopus. Inclusion was based upon the application of eligibility criteria in duplicate prior to data extraction with a standardized form.ResultsA total of 42 studies met the inclusion criteria. AF prevalence was found to vary between 6.5% and 35% in cohorts. Large studies with broad inclusion criteria found the prevalence of AF in hip fracture patients to be approximately 12–15%. There were conflicting results as to whether patients with AF have an increased rate of hip fractures, as compared to patients without AF. Several studies demonstrated that hip fracture patients with AF have increased rates of mortality, both as an inpatient and following discharge, and increased readmission rates.ConclusionAF and hip fractures frequently coexist, and there is evidence to suggest AF is associated with increased readmission and mortality rates in hip fracture patients. Elements of the relationship between AF and hip fractures remain uncertain and further prospective studies on AF and hip fracture cohorts may clarify this relationship. Interventional studies targeting hip fracture patients with AF may be beneficial.

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Citations

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References

Details

Published: Oct 18, 2019
Vol/Issue: 90(4)
Pages: 448-453
License: View

Authors

R

Rabieh Abu‐Assi

Adelaide Medical School, The University of Adelaide Adelaide South Australia Australia

J

Jed Campbell

Adelaide Medical School, The University of Adelaide Adelaide South Australia Australia

S

Stephen Bacchi

Department of Medicine, The Queen Elizabeth Hospital Adelaide South Australia Australia

T

Tiffany K. Gill

Adelaide Medical School, The University of Adelaide Adelaide South Australia Australia

D

Daniel George

Discipline of Orthopaedics and Trauma, The Queen Elizabeth Hospital Adelaide South Australia Australia

M

Mellick Chehade

Discipline of Orthopaedics and Trauma, Royal Adelaide Hospital The University of Adelaide Adelaide South Australia Australia; Research Council Centre of Research Excellence in Trans‐Disciplinary Frailty Research to Achieve Healthy Ageing Adelaide South Australia Australia

Cite This Article

Rabieh Abu‐Assi, Jed Campbell, Stephen Bacchi, et al. (2019). Association between atrial fibrillation and hip fractures and the implications for hip fracture patients: a systematic review. ANZ Journal of Surgery, 90(4), 448-453. https://doi.org/10.1111/ans.15460

Association between atrial fibrillation and hip fractures and the implications for hip fracture patients: a systematic review

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