在住院患者中新发性心房动
Arafat A Farooqui1, Syed M Mazhar Uddin1, Sanjay K Maheshwari1
1Department of Internal Medicine, Maimonides Medical Center, Brooklyn, NY 11219, USA.
概括
女性性别,感染,血管压缩剂使用和CVA病史增加了新发性心房 (AF) 的住院患者的死亡风险. 较长的住院时间可能会增加AF的可能性,但不会增加死亡率.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 流行病学 流行病学
背景情况:
- 新发性心房动 (AF) 是住院患者的常见并发症.
- 确定导致死亡的因素及其对死亡率的影响对于患者管理至关重要.
研究的目的:
- 评估在住院患者中导致新发动心房动 (AF) 的因素.
- 评估这些因素和住院时间对住院患者死亡率的影响.
- 检查COVID-19患者新发性AF相关的因素.
主要方法:
- 在城市第三级护理中心进行的回顾性横截面研究.
- 对464名住院患者的分析,检查人口统计数据,并发病症和临床结果.
- 统计分析以确定与各种因素相关的死亡率的概率比率 (OR) 和置信区间 (CI).
主要成果:
- 女性性别 (OR=2.63),感染 (OR=6.00),血管压缩剂使用 (OR=6.71) 和心血管病史 (OR=6.98) 显著增加了死亡风险.
- 住院三天后出现的新发性AF并没有增加死亡率 (OR=0.93).
- COVID-19阳性患者更有可能患有败血症 (75%vs31.46%).
结论:
- 女性性别,感染,血管压缩剂使用和CVA病史是新发性AF住院患者死亡率的重要预测因素.
- 虽然更长的住院时间可能会增加新发性AF的发生率,但它们似乎不会增加死亡风险.
- 在这种患者队列中,COVID-19阳性与败血症的可能性更高有关.
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