Impact of Atrial Fibrillation on Outcomes in Patients Hospitalized With Nontraumatic Intracerebral Hemorrhage

Autor: Sahith Reddy Thotamgari, MD, Akhilesh Babbili, MD, Prabandh Bucchanolla, MD, Samarthkumar Thakkar, MD, Harsh P. Patel, MD, Maja B. Spaseski, MD, Jonathan Graff-Radford, MD, Alejandro A. Rabinstein, MD, Zain Ul Abideen Asad, MD, MS, Samuel J. Asirvatham, MD, David R. Holmes, Jr., MD, Abhishek Deshmukh, MD, Christopher V. DeSimone, MD, PhD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Vol 7, Iss 4, Pp 222-230 (2023)
Druh dokumentu: article
ISSN: 2542-4548
DOI: 10.1016/j.mayocpiqo.2023.04.008
Popis: Objective: To assess the effect of atrial fibrillation (AF) on outcomes in hospitalizations for non-traumatic intracerebral hemorrhage (ICH). Patients and Methods: We queried the National Inpatient Sample database between January 1, 2016, and December 31, 2019, to identify hospitalizations with an index diagnosis of non-traumatic ICH using ICD-10 code I61. The cohort was divided into patients with and without AF. Propensity score matching was used to balance the covariates between AF and non-AF groups. Logistic regression was used to analyze the association. All statistical analyses were performed using weighted values. Results: Our cohort included 292,725 hospitalizations with a primary discharge diagnosis of non-traumatic ICH. From this group, 59,005 (20%) recorded a concurrent diagnosis of AF, and 46% of these patients with AF were taking anticoagulants. Patients with AF reported a higher Elixhauser comorbidity index (19.8±6.0 vs 16.6±6.4; P
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