Acute Care Outcomes in Patients Admitted for Atrial Fibrillation Who Had Prior Metabolic Surgery: A Propensity Score Matched Analysis
Division
West Florida
Hospital
Doctors Hospital of Sarasota
Document Type
Manuscript
Publication Date
5-2-2026
Keywords
acute care, obesity, atrial fibrillation, metabolic surgery
Disciplines
Internal Medicine | Medicine and Health Sciences
Abstract
BACKGROUND: Severe obesity increases atrial fibrillation (AF) burden; whether prior metabolic surgery (MS) improves outcomes during AF hospitalization is uncertain.
METHODS: Using a nationally representative database, we queried all primary admissions for AF and severe obesity. Patients were propensity score matched and analyzed with survey-weighted regression analysis.
RESULTS: Among 785,829 hospitalizations, 31,328 (4.0%) had prior MS. MS was associated with lower odds of mortality (AOR 0.60, 95% CI 0.48 - 0.76), acute kidney injury (AOR 0.72, 0.68 - 0.77), acute heart failure (AOR 0.76, 0.71 - 0.80), cardiogenic shock (AOR 0.50, 0.35 - 0.72), and non-home discharge (AOR 0.72, 0.67 - 0.77), with shorter LOS by 0.56 days and lower hospitalization costs by $885.
CONCLUSIONS: Prior MS is associated with improved clinical outcomes and resource use during AF hospitalization.
Publisher or Conference
American Journal of Surgery
Recommended Citation
Ascandar N, Elgendi K, Tarbay A, Al-Qutbi T, Omar S. Acute care outcomes in patients admitted for atrial fibrillation who had prior metabolic surgery: A propensity score matched analysis. Am J Surg. Published online May 2, 2026. doi:10.1016/j.amjsurg.2026.117011