ArticleTrauma surgery & acute care open2025
Potential role of left atrial appendage closure in trauma patients with atrial fibrillation on anticoagulation.
Article in Trauma surgery & acute care open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Atrial fibrillation, traumatic fall, and what happens after: it takes a village.Trauma surgery & acute care open · 2025Article
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6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Patients with atrial fibrillation (AF) on anticoagulation (AC) have increased mortality after trauma. Left atrial appendage closure (LAAC) procedures may reduce the need for AC in patients with AF. The purpose of this study is to evaluate the outcomes of trauma patients with AF on AC compared with patients not taking AC, and assess the frequency in which trauma patients are candidates for LAAC procedures. Methods: A retrospective review of adult trauma patients after a fall was performed. AF patients on AC (+AC) were compared with patients not on AC (-AC). A CHA2DS2-VASc score is a stroke-risk stratification tool incorporating congestive heart failure, hypertension, age >75 (2 points), prior stroke (2 points), vascular disease, age 65-74, and female sex. This score was calculated for +AC patients to analyze their candidacy for LAAC. Results: +AC patients (3452 total) were found to have increased red cell (7.3% vs 6.1%, p=0.02) and plasma (2.1% vs 1.2%, p<0.001) requirements. +AC patients had increased mortality (4.6% vs 3.5%, p=0.02). 54.8% of +AC patients had a CHA2DS2VASc score of >3 and met criteria for LAAC. Conclusion: A substantial proportion of AF patients on AC meet existing criteria for LAAC. Further exploration of referral pathways may be warranted to analyze whether offering information on such procedures could reduce the risk of AC-related complications in high-risk trauma populations. Evidence level: III.
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