Journal article
The Burden of Cardiac Arrhythmias in Gout: A National Representative Database Study
Current problems in cardiology, Vol.48(1), pp.101437-101437
01/01/2023
DOI: 10.1016/j.cpcardiol.2022.101437
PMID: 36183979
Abstract
The association between gout and arrhythmias has not been thoroughly examined. This study discusses the underappreciated burden, patterns, and outcomes of several arrhythmias, which may have prognostic value in patients with gout. This is a retrospective cohort study that used the US National Inpatient Sample for 2015-2019. Complex samples multivariable logistic and linear regression models were used to assess the incidence and trends in goutrelated arrhythmia and consequential inpatient mortality, hospital length of stay (LOS), hospitalization charges, and predictors of mortality. Hospitalizations that included a diagnosis of gout accounted for 60,360 admissions. Arrhythmias affected roughly one-fourth of those. When compared to individuals without arrhythmia, those who experienced arrhythmias were older. Arrhythmias were found to be equally common in both men and women. The most common subtype was AF (88%), followed by atrial flutter (6.2%), conduction disorders (4.7%), and ventricular tachycardia (3.2%). In individuals with gout, there was a rising trend in arrhythmia-related hospital admissions and mortality. The gout-arrhythmia group had more traditional cardiac comorbidities. After adjusting for baseline variables, the arrhythmia group had significantly greater mortality (693 vs 77 per 100,000 hospitalizations), mean LOS (4.3 vs 3.7 days), and hospital costs ($33,057 vs $28,384). In gout, incident arrhythmia dramatically raised the risk of death (adjusted odds ratio, 2.06; 95% CI, 1.95-2.16; P < 0.001). Gout patients who are hospitalized with concurrent arrhythmia have a likelihood of longer stays in the hospital and higher mortality. Early identification and treatment of arrhythmia may benefit outcomes in gout patients. (Curr Probl Cardiol 2023;48:101437.)
Details
- Title: Subtitle
- The Burden of Cardiac Arrhythmias in Gout: A National Representative Database Study
- Creators
- Mohammed Mhanna - University of IowaAhmad Jabri - Case Western Reserve UniversityYazan Abu Omar - Cleveland ClinicAhmad Al-Abdouh - University of KentuckyAzizullah Beran - Indiana UniversityAhmad Ramahi - Dept Rheumatol, Roswell, NM USANada Alrifai - Allegheny Health NetworkSoufian Almahameed - Case Western Reserve UniversityNezam Altorok - University of ToledoDenice Hodgson-Zingman - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Current problems in cardiology, Vol.48(1), pp.101437-101437
- Publisher
- Elsevier
- DOI
- 10.1016/j.cpcardiol.2022.101437
- PMID
- 36183979
- ISSN
- 0146-2806
- eISSN
- 1535-6280
- Number of pages
- 13
- Language
- English
- Date published
- 01/01/2023
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984359946902771
Metrics
9 Record Views