房颤患者住院和保健利用的性别差异。医疗保健利用和房颤的性别差异

IF 2.5 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

IJC Heart and Vasculature Pub Date : 2025-07-12 DOI:10.1016/j.ijcha.2025.101748

Melissa E. Middeldorp , Colinda van Deutekom , Liann I. Weil , Isabelle C. Van Gelder , Ursula W. De Ruijter , Patrick T. Jeurissen , Emelia J. Benjamin , Barbara C. van Munster , Michiel Rienstra

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引用次数: 0

摘要

背景：关于房颤（AF）患者医疗保健利用的性别差异的数据有限。本研究旨在评估性别和年龄与房颤患者医疗保健利用的关系。方法：我们对来自荷兰三家医院的电子健康记录进行回顾性分析，包括所有≥18岁且至少有一次医疗保健就诊（门诊、急诊或住院）的患者。使用与荷兰医院数据临床分类软件相关联的ICD-10代码确定房颤诊断。结果226991例患者中，5127例（2.3%）发生房颤，其中女性44%，平均年龄68±12岁。总体而言，门诊、急诊和住院患者的就诊没有性别差异。然而，18-59岁的女性比男性有更多的门诊就诊（6.1±7.9比4.8±5.2,p = 0.001）。相比之下，年龄≥75岁的女性门诊次数较少(7.2 vs 8.4, p <；0.001)和住院天数（4.8 vs 5.8, p = 0.027）。多变量调整后，年龄≥75岁的男女住院风险均增加(女性：OR 2.53, 95% CI 2.30-2.78；男性：OR 1.49, 95% CI 1.46-1.62)和急诊就诊(女性：OR 2.14, 95% CI 1.94-2.35；男性：OR 1.13, 95% CI 1.03-1.24)。性别和年龄之间存在显著的相互作用，女性住院天数的几率更高(OR 1.99, p <；0.001)和急诊就诊(OR 1.23, p <；0.001)。结论：虽然在医疗保健利用方面没有总体的性别差异，但存在显著的年龄相关差异，女性的医院使用率更高，特别是住院和急诊。

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Sex differences in hospitalisation and healthcare utilisation for patients with atrial fibrillation Middeldorp et al. Sex differences in healthcare utilisation and AF

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Sex differences in hospitalisation and healthcare utilisation for patients with atrial fibrillation Middeldorp et al. Sex differences in healthcare utilisation and AF

Background

There is limited data on sex differences in healthcare utilization among patients with atrial fibrillation (AF). This study aimed to assess the association of sex and age on healthcare utilization in AF patients.

Methods

We conducted a retrospective analysis of electronic health records from three hospitals in the Netherlands, including all patients ≥ 18 years with at least one healthcare encounter (outpatient, emergency visit, or inpatient stay). AF diagnoses were identified using ICD-10 codes linked with the Dutch Hospital Data Clinical Classification Software.

Results

Of 226,991 patients, 5127 (2.3 %) had AF (44 % females, mean age 68 ± 12 years). There were no sex differences in outpatient, emergency, or inpatient visits overall. However, females aged 18–59 had more outpatient visits compared to males (6.1 ± 7.9 vs 4.8 ± 5.2, p = 0.001). In contrast, females aged ≥ 75 had fewer outpatient visits (7.2 vs 8.4, p < 0.001) and inpatient days (4.8 vs 5.8, p = 0.027) compared to males. After multivariable adjustment, both sexes aged ≥ 75 had increased risks of inpatient stays (Females: OR 2.53, 95 % CI 2.30–2.78; Males: OR 1.49, 95 % CI 1.46–1.62) and emergency visits (Females: OR 2.14, 95 % CI 1.94–2.35; Males: OR 1.13, 95 % CI 1.03–1.24). Significant interactions between sex and age were found, with females having higher odds of inpatient days (OR 1.99, p < 0.001) and emergency visits (OR 1.23, p < 0.001) compared to males.

Conclusion

While no overall sex differences in healthcare utilization were found, significant age-related differences were observed, with females having higher hospital utilization rates, particularly for inpatient stays and emergency visits.

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来源期刊

IJC Heart and Vasculature Medicine-Cardiology and Cardiovascular Medicine

CiteScore

4.90

自引率

10.30%

发文量

216

审稿时长

56 days

期刊介绍： IJC Heart & Vasculature is an online-only, open-access journal dedicated to publishing original articles and reviews (also Editorials and Letters to the Editor) which report on structural and functional cardiovascular pathology, with an emphasis on imaging and disease pathophysiology. Articles must be authentic, educational, clinically relevant, and original in their content and scientific approach. IJC Heart & Vasculature requires the highest standards of scientific integrity in order to promote reliable, reproducible and verifiable research findings. All authors are advised to consult the Principles of Ethical Publishing in the International Journal of Cardiology before submitting a manuscript. Submission of a manuscript to this journal gives the publisher the right to publish that paper if it is accepted. Manuscripts may be edited to improve clarity and expression.