Munir Muhammad Bilal, Sharbaugh Michael S, Ahmad Shahzad, Patil Shantanu, Mehta Kathan, Althouse Andrew D, Saba Samir
Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Am J Cardiol. 2017 Aug 1;120(3):399-403. doi: 10.1016/j.amjcard.2017.04.040. Epub 2017 May 10.
Atrial fibrillation (AF) is the most common cause of arrhythmia-related hospitalizations. We assessed 30-day readmissions in patients admitted with AF in a national sample of US population. Data were extracted from Nationwide Readmissions Database for the calendar year 2013. Patients with primary discharge diagnosis of AF were identified by the International Classification of Diseases, Ninth Revision, Clinical Modification, code 427.31. Patients who died during hospitalization and those <18 years were excluded. Our primary outcome was 30-day readmission rate. Causes and independent predictors of 30-day readmissions were examined. We identified 388,340 patients admitted with AF, of whom 58,634 patients (15.1%) were readmitted within 30 days. Patients who were readmitted tended to be older and have a higher burden of co-morbidities. AF and heart failure were the main causes of 30-day readmissions in our cohort. Advanced age, female gender, and multiple co-morbidities were independently associated with 30-day readmissions. In conclusion, 15% of patients admitted for AF were readmitted within 30 days. More than 1/3 of these readmissions were for AF or heart failure.
心房颤动（AF）是心律失常相关住院治疗的最常见原因。我们在美国全国人口样本中评估了因AF入院患者的30天再入院情况。数据取自2013年全年的全国再入院数据库。根据国际疾病分类第九版临床修订本代码427.31确定主要出院诊断为AF的患者。排除住院期间死亡的患者以及年龄<18岁的患者。我们的主要结局是30天再入院率。研究了30天再入院的原因和独立预测因素。我们确定了388,340例因AF入院的患者，其中58,634例患者（15.1%）在30天内再次入院。再次入院的患者往往年龄较大且合并症负担较高。AF和心力衰竭是我们队列中30天再入院的主要原因。高龄、女性性别和多种合并症与30天再入院独立相关。总之，15%的AF入院患者在30天内再次入院。这些再入院患者中超过1/3是因AF或心力衰竭。
