Atrial Fibrillation in Young Patients: Insights From the National Inpatient Sample.

IF 1.7 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-12-01 Epub Date: 2024-11-11 DOI:10.1111/pace.15082

Prasanti A Kotta, Tusharbhai J Patel, Vijay Nambi, Arunima Misra, Hamid Afshar, Mihail G Chelu, Mohammad Saeed, Dmitry Abramov, Abdul Mannan Khan Minhas

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引用次数: 0

Abstract

Background: The burden of atrial fibrillation (AF) hospitalizations in young patients is not well characterized. We aimed to study the burden, comorbidities, outcomes, and resource utilization of AF hospitalizations in young patients.

Methods: We conducted a retrospective analysis of all primary AF hospitalizations in patients 18-45 years of age using the National Inpatient Sample data from January 1, 2008 to December 31, 2019. We collected data on various clinical and socioeconomic features including demographics and clinical outcomes.

Results: AF hospitalizations decreased over time from 18.7 per 100,000 in 2008 to 13.0 per 100,000 in 2019 (p < 0.001). AF hospitalizations were higher amongst males compared to females (24.0 vs. 7.5 per 100,000), and higher in Black patients compared to other ethnicities (20.4 for Black vs. 15.6 for White vs. 8.5 Hispanic per 100,000). The utilization of electrical cardioversion increased from 17.6% in 2008 to 21.9% in 2019 (p < 0.001), and catheter ablation decreased from 7.1% in 2008 to 4.3% in 2019 (p < 0.001). Men were more likely to undergo electrical cardioversion than women (20.1% vs. 14.8%, p < 0.001). White patients were more likely to undergo electrical cardioversion (20.8% vs. 14.3% vs. 15.5%, p < 0.001) and catheter ablation (6.1% vs. 3.3% vs. 4.2%, p < 0.001) compared to Black and Hispanic patients, respectively. Patients in the highest income residence quartile were more likely to undergo electrical cardioversion (21.9% vs. 16.4%, p < 0.001) and catheter ablation (8.0% vs. 3.7%, p < 0.001) compared to patients in the lowest income residence quartile.

Conclusions: We found significant differences in inpatient AF management based on sex, ethnicity, and SES.

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年轻患者的心房颤动：全国住院病人抽样调查的启示。

背景：年轻患者心房颤动（房颤）住院治疗的负担尚未得到很好的描述。我们旨在研究年轻患者心房颤动住院治疗的负担、合并症、结果和资源利用情况：我们利用 2008 年 1 月 1 日至 2019 年 12 月 31 日的全国住院患者抽样数据，对 18-45 岁患者的所有原发性房颤住院病例进行了回顾性分析。我们收集了各种临床和社会经济特征的数据，包括人口统计学和临床结果：随着时间的推移，心房颤动住院率从 2008 年的每 10 万人中 18.7 例下降到 2019 年的每 10 万人中 13.0 例（P我们发现住院心房颤动患者的管理因性别、种族和社会经济地位而存在明显差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pace-Pacing and Clinical Electrophysiology 医学-工程：生物医学

CiteScore

2.70

自引率

5.60%

发文量

209

审稿时长

2-4 weeks

期刊介绍： Pacing and Clinical Electrophysiology (PACE) is the foremost peer-reviewed journal in the field of pacing and implantable cardioversion defibrillation, publishing over 50% of all English language articles in its field, featuring original, review, and didactic papers, and case reports related to daily practice. Articles also include editorials, book reviews, Musings on humane topics relevant to medical practice, electrophysiology (EP) rounds, device rounds, and information concerning the quality of devices used in the practice of the specialty.