在心房动和的肥胖悖论:一个多变量全国性住院病人的分析
Kennedy Sparling1, Mehrtash Hashemzadeh1, Mohammad Reza Movahed1,2
1University of Arizona Phoenix, AZ, USA.
American journal of cardiovascular disease
|September 22, 2025
概括
对心房动/动 (Afib/Aflut) 患者的住院死亡率在空心患者中最高,在超重患者中最低,显示出肥胖悖论. 此外,COVID-19大流行也增加了Afib/Aflut住院患者的死亡率.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 心房动和心房动 (Afib/Aflut) 是常见的心律不整.
- 紧急服务部门经常遇到患有Afib/Aflut.的患者.
研究的目的:
- 研究患者体重类别与住院死亡率之间的关系.
- 评估不同体重分类的Afib/Aflut患者的死亡趋势.
主要方法:
- 使用了来自全国住院患者样本 (NIS) 数据库 (2016-2020) 的ICD-10代码.
- 在各种体重类别中分析了患有Afib/Aflut的成年人 (18岁以上) 的死亡率.
- 用多变量分析调整了人口统计和并发病因素.
主要成果:
- 检查了23,037,013名Afib/Aflut患者;整体死亡率为5.03%.
- 卡塞克斯患者的死亡率最高 (15.89%),超重患者的死亡率最低 (2.3%).
- 肥胖和致病性肥胖群体的死亡率较低 (2.97%) 与正常体重 (5.26%) 相比;P<0.001.
- 在2020年,COVID-19流行病的一年,在所有体重组内,住院患者的死亡率显著上升.
结论:
- 在住院的Afib/Aflut患者中存在显著的肥胖悖论.
- 超重个体的死亡率最低,不论是伴随疾病或人口统计数据.
- 随着COVID-19大流行,Afib/Aflut.的住院患者死亡率独立增加.
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