Thirty-day unplanned readmissions following hospitalization for atrial fibrillation in a tertiary Syrian center: A real-world observational cohort study

IF 2.5 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart Rhythm O2 Pub Date : 2024-12-01 DOI:10.1016/j.hroo.2024.05.010

Ibrahim Antoun PhD , Alkassem Alkhayer MSc , Majed Aljabal MBBS , Yaman Mahfoud MD , Alamer Alkhayer MD , Peter Simon MD , Ahmed Kotb MSc , Joseph Barker MRCP , Akash Mavilakandy BSc , Rita Hani MSc , Riyaz Somani PhD , G. André Ng PhD , Mustafa Zakkar PhD

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Abstract

Background

Atrial fibrillation (AF) is the most common arrhythmia worldwide. Data regarding 30-day readmission following index admission for AF in the developing world are poorly described.

Objectives

The study aimed to assess the rate, predictors, and trends of 30-day readmission after index admission for AF in Syria.

Methods

We included adult patients who had an index admission with AF to Latakia’s tertiary center between June 2021 and October 2023. Patients were monitored for readmission for 30 days after index discharge. Data were taken from patients’ medical notes.

Results

A total of 661 patients were included in the final analysis, of which 282 (43%) were readmitted to hospital within 30 days following index admission. Cardiac causes were the most common cause of readmission in 72% of patients, of which 60% were AF. Readmitted patients had a higher median age (62 years vs 57 years, P = .001), and there were fewer males (58% vs 51%, P = .001). In multivariate analysis, factors that independently increased 30-day readmission risk were older age (hazard ratio [HR] 1.5, 95% confidence interval [CI] 1.1–1.9), female sex (HR 1.3, 95% CI 1.02–1.4), diabetes mellitus (HR 1.7, 95% CI 1.3–2.3), and congestive heart failure (HR 2.2, 95% CI 1.7–2.9). Most cardiac readmissions happened during the first 15 days (79%).

Conclusion

Almost 1 in 2 patients were readmitted within 30 days after an index admission for AF. Female sex, advancing age, diabetes mellitus, and congestive heart failure were independently associated with an increased risk of 30-day readmission.

查看原文本刊更多论文

在叙利亚三级中心房颤住院后30天的意外再入院：一项真实世界的观察队列研究。

背景：心房颤动（AF）是世界范围内最常见的心律失常。发展中国家对房颤指数入院后30天再入院的数据描述甚少。目的：本研究旨在评估叙利亚房颤指数入院后30天再入院率、预测因素和趋势。方法：我们纳入了2021年6月至2023年10月期间在拉塔基亚三级中心有房颤指数入院的成年患者。监测患者指数出院后30天再入院情况。数据取自病人的医疗记录。结果：共纳入661例患者，其中282例（43%）在指标入院后30天内再次入院。在72%的患者中，心脏原因是最常见的再入院原因，其中60%为房颤。再入院患者的中位年龄较高（62岁对57岁，P = 0.001），男性较少（58%对51%，P = 0.001）。在多因素分析中，独立增加30天再入院风险的因素是年龄较大（风险比[HR] 1.5, 95%可信区间[CI] 1.1-1.9）、女性（风险比[HR] 1.3, 95% CI 1.02-1.4）、糖尿病（风险比[HR] 1.7, 95% CI 1.3-2.3）和充血性心力衰竭（风险比[HR] 2.2, 95% CI 1.7-2.9）。大多数心脏再入院发生在前15天（79%）。结论：近1 / 2的患者在房颤指数入院后30天内再次入院。女性、高龄、糖尿病和充血性心力衰竭与30天再入院风险增加独立相关。

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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