Risk of pacemaker implantation after femur fracture in patients with and without a history syncope: a Danish nationwide registry-based follow-up study.
Journal
Journal of geriatric cardiology : JGC
ISSN: 1671-5411
Titre abrégé: J Geriatr Cardiol
Pays: China
ID NLM: 101237881
Informations de publication
Date de publication:
28 Sep 2022
28 Sep 2022
Historique:
entrez:
26
10
2022
pubmed:
27
10
2022
medline:
27
10
2022
Statut:
ppublish
Résumé
It has previously been described that fall-associated injuries including fractures are commonly observed among patients with bradyarrhythmia. However, knowledge on the risk of pacemaker implantation after admission due to femur fracture from large population-based epidemiologic data is lacking. Therefore, we investigated the risk of pacemaker implantation following femur fracture in patients with and without a history of previous syncope. All patients with femur fracture between 2005-2017 were identified using the Danish Nationwide Patient Registry. Among these, patients already having a pacemaker were excluded. Primary outcome was one-year risk of pacemaker implantation and secondary outcome was one-year all-cause mortality. Multivariable logistic regression was used to obtain absolute and relative risks of the study endpoint in relation to patients with versus without history of syncope and standardized to the age, sex, selected comorbidity and pharmacotherapy distribution of all patients. Of 93,093 patients with femur fracture, 5508 (5.9%) had a history of syncope within five years. Patients with prior syncope were slightly older (84 In patients with femur fracture, a history of syncope was significantly associated with a higher one-year risk of pacemaker implantation.
Sections du résumé
BACKGROUND
BACKGROUND
It has previously been described that fall-associated injuries including fractures are commonly observed among patients with bradyarrhythmia. However, knowledge on the risk of pacemaker implantation after admission due to femur fracture from large population-based epidemiologic data is lacking. Therefore, we investigated the risk of pacemaker implantation following femur fracture in patients with and without a history of previous syncope.
METHODS
METHODS
All patients with femur fracture between 2005-2017 were identified using the Danish Nationwide Patient Registry. Among these, patients already having a pacemaker were excluded. Primary outcome was one-year risk of pacemaker implantation and secondary outcome was one-year all-cause mortality. Multivariable logistic regression was used to obtain absolute and relative risks of the study endpoint in relation to patients with versus without history of syncope and standardized to the age, sex, selected comorbidity and pharmacotherapy distribution of all patients.
RESULTS
RESULTS
Of 93,093 patients with femur fracture, 5508 (5.9%) had a history of syncope within five years. Patients with prior syncope were slightly older (84
CONCLUSIONS
CONCLUSIONS
In patients with femur fracture, a history of syncope was significantly associated with a higher one-year risk of pacemaker implantation.
Identifiants
pubmed: 36284681
doi: 10.11909/j.issn.1671-5411.2022.09.001
pii: jgc-19-9-712
pmc: PMC9548056
doi:
Types de publication
Journal Article
Langues
eng
Pagination
712-718Informations de copyright
© 2022 JGC All rights reserved; www.jgc301.com.
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