Arrhythmias & electrophysiology

Postoperative Atrial Fibrillation and Risk of Development of Dementia

JACC AdvPublished Retrospective cohort study

Main finding · Incident dementiaResult — go to the resultHazard ratio 1.20 95% CI 1.11–1.29

Authors' conclusion

POAF is associated with incident dementia among older adults undergoing noncardiac surgery.

Study context

Population
Medicare beneficiaries aged ≥66 years hospitalised for surgery, without prior dementia or stroke, 2008–2018
Participants
670,745 beneficiaries
Exposure
Postoperative atrial fibrillation (POAF) vs no AF
Outcome
New diagnosis of dementia after the index hospitalisation
Methodological details5% Medicare claims sample
  • 5% Medicare claims sample

Main finding

Incident dementia

Hazard ratio

1.20

95% CI 1.11–1.29

By group

POAF

Cardiac surgery
4.4%
Noncardiac surgery
12.5%

No AF

Cardiac surgery
4.6%
Noncardiac surgery
9.3%

Cardiac surgery

POAF4.4%
No AF4.6%

Noncardiac surgery

POAF12.5%
No AF9.3%
POAFvs No AF
HR 1.20 (95% CI 1.11–1.29)

As reported in the abstract

Observational data: associations, not effects.

Further findings

POAF incidence

Cardiac surgery
22.7%
Noncardiac surgery
2.2%

Original publication

Postoperative Atrial Fibrillation and Risk of Development of Dementia. JACC Adv. Published 12 November 2025. doi:10.1016/j.jacadv.2025.102233

Composed by AI from the published abstract and checked against it. How Briefs are made →

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