Temporal trends and factors associated with increased mortality among atrial fibrillation weekend hospitalizations: an insight from National Inpatient Sample 2005–2014

Autor: Ryan M. Carnahan, Abhishek Deshmukh, Deobrat Chandra Mallick, Naga Venkata Pothineni, Rakesh Latchamsetty, Mohammed Saeed, Dinesh Voruganti, Stephanie S. Colello, Sushma Dugyala, Ala Mohsen, Michael C. Giudici, Ghanshyam Palamaner Subash Shantha, Frank Pelosi, Krit Jongnarangsin
Rok vydání: 2019
Předmět:
Male
0301 basic medicine
Time Factors
Databases
Factual
Weekend effect
medicine.medical_treatment
Prevalence
lcsh:Medicine
Cardioversion
0302 clinical medicine
Epidemiology
Hospital Mortality
030212 general & internal medicine
lcsh:QH301-705.5
Depression (differential diagnoses)
Aged
80 and over
Weekend hospitalization
Atrial fibrillation
General Medicine
Middle Aged
Hospitalization
Research Note
In-hospital mortality
Female
Adult
medicine.medical_specialty
education
General Biochemistry
Genetics and Molecular Biology
Odds
Young Adult
03 medical and health sciences
medicine
Humans
lcsh:Science (General)
Aged
Inpatients
business.industry
lcsh:R
Length of Stay
medicine.disease
United States
The primary diagnosis
030104 developmental biology
lcsh:Biology (General)
Emergency medicine
business
human activities
lcsh:Q1-390
Zdroj: BMC Research Notes
BMC Research Notes, Vol 12, Iss 1, Pp 1-7 (2019)
ISSN: 1756-0500
Popis: Objective Atrial fibrillation (AF) weekend hospitalizations were reported to have poor outcomes compared to weekday hospitalizations. The relatively poor outcomes on the weekends are usually referred to as ‘weekend effect’. We aim to understand trends and outcomes among weekend AF hospitalizations. The primary purpose of this study is to evaluate the trends for weekend AF hospitalizations using Nationwide Inpatient Sample 2005–2014. Hospitalizations with AF as the primary diagnosis, in-hospital mortality, length of stay, co-morbidities and cardioversion procedures have been identified using the international classification of diseases 9 codes. Results Since 2005, the weekend AF hospitalizations increased by 27% (72,216 in 2005 to 92,220 in 2014), mortality decreased by 29% (1.32% in 2005 to 0.94% in 2014), increase in urban teaching hospitalizations by 72% (33.32% in 2005 to 57.64% in 2014), twofold increase in depression and a threefold increase in the prevalence of renal failure were noted over the period of 10 years. After adjusting for significant covariates, weekend hospitalizations were observed to have higher odds of in-hospital mortality OR 1.17 (95% CI 1.108–1.235, P
Databáze: OpenAIRE
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