New-onset, postoperative tachyarrhythmias in critically ill surgical patients

Bernal, Eileen; Wolf, Steven E.; Cripps, Michael W.

doi:10.1016/j.burns.2017.06.012

Cited by 3 publications

(1 citation statement)

References 62 publications

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“…Our study did not indicate that surgery was a predictor for new‐onset atrial fibrillation in the geriatric trauma population. This hypothesis proposed pathophysiologic changes such as alterations of electrolytes, atrial stretch from intravenous fluids, and inflammation; factors thought to be associated with both atrial fibrillation and surgical intervention . This conclusion should be drawn with caution, however, due to the fact that our study only identified cases with onset during the hospital admission, whereas other literature looked at patients in a 90‐day postoperative window with a median detection time of 32 days …”

Section: Discussionmentioning

confidence: 87%

Predictors of new‐onset atrial fibrillation in geriatric trauma patients

et al. 2020

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Introduction: Geriatric patients (age >65) comprise a growing segment of the trauma population. New-onset atrial fibrillation may occur after injury, complicating clinical management and resulting in significant morbidity and mortality. This study was undertaken to identify clinical and demographic factors associated with new-onset atrial fibrillation among geriatric trauma patients. Methods:In this case control study, eligible participants included admitted trauma patients age 65 and older who developed new-onset atrial fibrillation during the hospitalization. Controls were admitted trauma patients who were matched for age and injury severity score, who did not develop atrial fibrillation. We evaluated the associations between new-onset atrial fibrillation and clinical characteristics, including patient demographics, health behaviors, chronic medical conditions, and course of care.Results: Data were available for 63 cases and 25 controls. Patients who developed atrial fibrillation were more likely to be male, compared to controls (49% versus 24%; odds ratio 3.0[1.0, 8.9]). Other demographic and clinical factors were not associated with new-onset atrial fibrillation, including mechanism of injury, co-morbid medical conditions, drug or alcohol use, surgical procedures, and intravenous fluid administration. Conclusions:Male geriatric trauma patients were at higher risk for developing newonset atrial fibrillation. Other demographic and clinical factors were not associated with new-onset atrial fibrillation.

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Section: Discussionmentioning

confidence: 87%