Ali Salman, Areeka Irfan, Mariam Shahabi, Muteia Shakoor, Mohammad Ismail Asim, Areeba Gul, Ali Roomi Khuwaja, Muhammad Usman Baig, Shahzeb Arif Khatri, Fakiha Hussain, Muhammad Talha Maniya, Muhammad Shikaib Shabbir, Ahmed Ali Aziz
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引用次数: 0
Abstract
Background: Aortic aneurysm (AA) and atrial fibrillation (AF) frequently coexist, with emerging evidence suggesting that such patients exhibit an elevated cardiovascular risk profile. However, the impact of preexisting AF on in-hospital outcomes among patients hospitalized for AA remains poorly characterized.
Methods: We analyzed data from the National Inpatient Sample (2018-2020) to identify adult hospitalizations with a primary diagnosis of AA. Patients were stratified by the presence or absence of AF. Multivariable logistic and linear regression were used to assess the association of AF with in-hospital mortality, complications, length of stay (LOS), and inflation-adjusted total hospital charges.
Results: Among 147,420 weighted AA hospitalizations (mean age: 70 ±12 years), 39,030 (19.5%) had concomitant AF. After multivariable adjustment, AF was not significantly associated with in-hospital mortality (OR: 1.07 [0.90, 1.27], p=0.46). However, patients with AF had a longer median LOS (5 vs. 2 days; p<0.001) and incurred higher total charges ($160,363 vs. $129,647; p<0.001). AF was independently associated with increased odds of ischemic stroke (OR: 1.85 [1.36, 2.51], p<0.001), transient ischemic attack (OR: 1.96 [1.01, 3.80], p=0.047), acute myocardial infarction (OR: 1.58 [1.23, 2.04], p<0.001), and major (OR: 1.21 [1.01, 1.45], p=0.035) and transfusion-requiring bleeding (OR: 1.90 [1.04, 3.47], p=0.035).
Conclusion: Although AF was not associated with in-hospital mortality among patients admitted for AA, it was linked to a significantly higher risk of bleeding complications, prolonged hospitalization, and greater healthcare expenditures.
期刊介绍:
Annals of Vascular Surgery, published eight times a year, invites original manuscripts reporting clinical and experimental work in vascular surgery for peer review. Articles may be submitted for the following sections of the journal:
Clinical Research (reports of clinical series, new drug or medical device trials)
Basic Science Research (new investigations, experimental work)
Case Reports (reports on a limited series of patients)
General Reviews (scholarly review of the existing literature on a relevant topic)
Developments in Endovascular and Endoscopic Surgery
Selected Techniques (technical maneuvers)
Historical Notes (interesting vignettes from the early days of vascular surgery)
Editorials/Correspondence