Evidence map›Paper›PMID 41631051›Full record

ArticleCureus2026

Association of Atrial Fibrillation With an Increased Risk of Stroke and Functional Disability Following Hip and Pelvic Fractures.

Ubaid Ur Rehman Khizir, Muhammad Hannan Asghar, Adeel Ur Rehman, Muhammad Subhan Sajjad, Fnu Shehryaar, Sanjay Kumar, Maryam Mazhar

Abstract read
In one paragraph

Article in Cureus, 2026. 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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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ubaid Ur Rehman KhizirEmergency Medicine, Evercare Hospital Lahore, Lahore, PAK.
Muhammad Hannan AsgharAccident and Emergency Medicine, Niazi Medical & Dental College, Sargodha, PAK.
Adeel Ur RehmanNeurosurgery, Punjab Institute of Neurosciences, Lahore, PAK.
Muhammad Subhan SajjadCardiology, Punjab Institute of Cardiology (PIC), Lahore, PAK.
Fnu ShehryaarAnatomy, Amna Inayat Medical College, Lahore, PAK.
Sanjay KumarCardiology, Suleman Roshan Medical College and Hospital, Tando Adam, PAK.
Maryam MazharEmergency Medicine, Niaz Ghani Hospital, Sahiwal, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is a common arrhythmia in elderly patients and is strongly associated with increased risk of ischemic stroke, disability, and mortality.

objectiveThe objective of the study is to evaluate the association of AF with ischemic stroke, functional disability, and mortality in patients presenting with hip and pelvic fractures.

methodsThis case-control study was conducted at Niazi Medical and Dental College, Sargodha, Pakistan, from January 2024 to January 2025. This study included 273 patients aged ≥50 years admitted with hip or pelvic fractures, of whom 137 had AF and 136 did not. Baseline demographics, comorbidities, and fracture characteristics were recorded. AF was confirmed via electrocardiography (ECG) or prior medical history. The primary outcome was the incidence of ischemic stroke within 90 days.

resultsThe mean age of the overall cohort was 71.8 ± 8.9 years, with 59.3% being female. Compared to patients who did not have AF, those with AF were older and had higher rates of hypertension, coronary artery disease, and previous strokes. Ischemic stroke occurred in 12.4% of AF patients compared to 1.5% of non-AF patients within 90 days (p = 0.001). AF was independently associated with stroke (adjusted odds ratio (OR) = 5.2, 95% confidence interval (CI): 2.0-13.6, p < 0.001) and poor functional outcome (modified Rankin Scale (mRS) ≥ 4 at 90 days: adjusted OR = 2.1, 95% CI: 1.3-3.5, p = 0.002). At 90 days, 38.0% of AF patients were functionally independent (Barthel Index 80), compared to 56.6% of non-AF patients (p = 0.003). Mortality at 90 days was also higher in AF patients (12.4% vs. 4.4%, p = 0.021).

conclusionAF significantly increases the risk of ischemic stroke, functional disability, and short-term mortality in patients with hip and pelvic fractures. AF should be considered a critical prognostic factor in fracture management, and integrated multidisciplinary strategies, including optimized anticoagulation and early rehabilitation, are needed to improve outcomes.

Indexed as

atrial fibrillationfracturepatient satisfactionrehabilitationrisk factors

Identifiers

PMID41631051
PMCPMC12860577

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.