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Predictors of Hip Fracture Among Patients With Atrial Fibrillation: A Retrospective Study

Afzal I, Bin Imtiaz MF, Sumeed Khalid M, Abdul Malik MAB, Ali MA, Akbar S, Abdul Malik MHB

Cureus, 2026

189 participants

Abstract

Background Hip fractures represent a major public health concern among elderly individuals, with annual cases projected to exceed six million globally by 2050 due to population aging. Patients with atrial fibrillation (AF) may be at increased risk due to multiple comorbidities. Identifying those predictors of hip fracture in this population is essential for early risk stratification and prevention. Therefore, this study aimed to determine the predictors of hip fracture among patients with AF. Methods This retrospective study included all eligible 189 patients aged ≥50 years with confirmed atrial fibrillation, enrolled using consecutive sampling according to predefined inclusion and exclusion criteria. Demographic and clinical data were collected via a self-designed form. Patients were categorized into fracture and non-fracture groups. Statistical analysis was performed in the Statistical Package for the Social Sciences (SPSS) software, version 25 (Released 2017; IBM Corp., Armonk, New York) using independent t-tests and chi-square tests for group comparisons. Variables with clinical relevance were further analyzed using multivariate logistic regression to identify independent predictors. Results The mean age of participants was 67.60±8.26 years, and 27 (14.28%) patients developed hip fractures. Patients with fractures were significantly older and more likely to be female with lower BMI. Univariate analysis identified multiple significant associations (p<0.05). On further…

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