Voruganti Dinesh C, Shantha Ghanshyam, Dugyala Sushma, Pothineni Naga Venkata K, Mallick Deobrat Chandra, Deshmukh Abhishek, Mohsen Ala, Colello Stephanie S, Saeed Mohammed, Latchamsetty Rakesh, Jongnarangsin Krit, Pelosi Frank, Carnahan Ryan M, Giudici Michael
Division of Internal Medicine, Roy and Lucille J. Carver College of Medicine, University of Iowa Hospitals and Clinics, 200 Hawkins Dr., Internal Medicine, Iowa City, IA, 52242, USA.
Division of Electrophysiology, University of Michigan, Ann Arbor, MI, USA.
BMC Res Notes. 2019 Jul 12;12(1):398. doi: 10.1186/s13104-019-4440-8.
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.
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 < 0.0001). Weekend AF hospitalizations appear to be associated with higher in-hospital mortality. Opportunities to improve care in weekend AF hospitalizations need to be explored.
据报道，与工作日住院相比，心房颤动（AF）周末住院的结局较差。周末相对较差的结局通常被称为“周末效应”。我们旨在了解周末AF住院的趋势和结局。本研究的主要目的是使用2005 - 2014年全国住院患者样本评估周末AF住院的趋势。以AF作为主要诊断的住院患者、住院死亡率、住院时间、合并症和心脏复律程序已通过国际疾病分类第9版编码确定。
自2005年以来，周末AF住院人数增加了27%（从2005年的72,216例增加到2014年的92,220例），死亡率下降了29%（从2005年的1.32%降至2014年的0.94%），城市教学医院住院人数增加了72%（从2005年的33.32%增至2014年的57.64%），在10年期间，抑郁症患病率增加了两倍，肾衰竭患病率增加了三倍。在对显著协变量进行调整后，观察到周末住院患者的住院死亡率较高，比值比为1.17（95%可信区间为1.108 - 1.235，P < 0.0001）。周末AF住院似乎与较高的住院死亡率相关。需要探索改善周末AF住院护理的机会。
