Temporal trends and factors associated with increased mortality among atrial fibrillation weekend hospitalizations: an insight from National Inpatient Sample 2005-2014

Dinesh C Voruganti; Ghanshyam Shantha; Sushma Dugyala; Naga Venkata K Pothineni; Deobrat Chandra Mallick; Abhishek Deshmukh; Ala Mohsen; Stephanie S Colello; Mohammed Saeed; Rakesh Latchamsetty; Krit Jongnarangsin; Frank Pelosi; Ryan M Carnahan; Michael Giudici

doi:10.1186/s13104-019-4440-8

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Temporal trends and factors associated with increased mortality among atrial fibrillation weekend hospitalizations: an insight from National Inpatient Sample 2005-2014

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Temporal trends and factors associated with increased mortality among atrial fibrillation weekend hospitalizations: an insight from National Inpatient Sample 2005-2014

Dinesh C Voruganti, Ghanshyam Shantha, Sushma Dugyala, Naga Venkata K Pothineni, Deobrat Chandra Mallick, Abhishek Deshmukh, Ala Mohsen, Stephanie S Colello, Mohammed Saeed, Rakesh Latchamsetty, …

BMC research notes, Vol.12(1), pp.398-398

07/12/2019

DOI: 10.1186/s13104-019-4440-8

PMCID: PMC6626408

PMID: 31300069

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Abstract

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.

United States - epidemiology

Prevalence

Atrial Fibrillation - therapy

Humans

Middle Aged

Databases, Factual - statistics & numerical data

Hospitalization - statistics & numerical data

Male

Inpatients - statistics & numerical data

Hospital Mortality - trends

Young Adult

Atrial Fibrillation - epidemiology

Time Factors

Aged, 80 and over

Adult

Female

Aged

Atrial Fibrillation - diagnosis

Length of Stay - statistics & numerical data

Details

Title: Subtitle: Temporal trends and factors associated with increased mortality among atrial fibrillation weekend hospitalizations: an insight from National Inpatient Sample 2005-2014
Creators: Dinesh C Voruganti - 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. dinesh-voruganti@uiowa.edu
Ghanshyam Shantha - Division of Electrophysiology, University of Michigan, Ann Arbor, MI, USA
Sushma Dugyala - Division of Internal Medicine, University of Alabama, Tuscaloosa, USA
Naga Venkata K Pothineni - Division of Cardiovascular Medicine, University of Arkansas, Little Rock, AR, USA
Deobrat Chandra Mallick - Department of Hospital Medicine, Spohn Shoreline Hospital, Corpus Christi, TX, USA
Abhishek Deshmukh - Division of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA
Ala Mohsen - Division of Cardiovascular Medicine, Louisiana State University, New Orleans, LA, USA
Stephanie S Colello - Division of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Mohammed Saeed - Division of Electrophysiology, University of Michigan, Ann Arbor, MI, USA
Rakesh Latchamsetty - Division of Electrophysiology, University of Michigan, Ann Arbor, MI, USA
Krit Jongnarangsin - Division of Electrophysiology, University of Michigan, Ann Arbor, MI, USA
Frank Pelosi - Division of Electrophysiology, University of Michigan, Ann Arbor, MI, USA
Ryan M Carnahan - College of Public Health, University of Iowa, Iowa City, IA, USA
Michael Giudici - Division of Cardiovascular Medicine, Electrophysiology, Roy and Lucille J. Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: BMC research notes, Vol.12(1), pp.398-398
DOI: 10.1186/s13104-019-4440-8
PMID: 31300069
PMCID: PMC6626408
NLM abbreviation: BMC Res Notes
ISSN: 1756-0500
eISSN: 1756-0500
Publisher: England
Language: English
Date published: 07/12/2019
Academic Unit: Epidemiology; Cardiovascular Medicine; Injury Prevention Research Center; Internal Medicine
Record Identifier: 9983995161702771

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