Characteristics and temporal pattern of readmissions of patients with atrial fibrillation hospitalized in medical departments

被引：3

作者：

Iniguez Vazquez, I. ^{[1
]}

Monte Secades, R. ^{[1
]}

Matesanz Fernandez, M. ^{[1
]}

Romay Lema, E. M. ^{[1
]}

Rubal Bran, D. ^{[1
]}

Casariego Vales, E. ^{[1
]}

机构：

[1] Hosp Lucus Augusti, Serv Med Interna, Lugo, Galicia, Spain

来源：

REVISTA CLINICA ESPANOLA | 2017年 / 217卷 / 06期

关键词：

Atrial fibrillation; Muttimorbidity; Polypathological; Cluster; HEALTH-SERVICES; MULTIMORBIDITY; COMORBIDITY; COHORT; CARE; PREVALENCE; IDENTIFICATION; POPULATION; ADMISSIONS; DISEASE;

D O I：

10.1016/j.rce.2017.03.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: To determine the characteristics of patients with auricular fibrillation (AF) in the hospital setting and their successive hospitalisations. Method: A retrospective cohort study was conducted on all hospital admissions in the medical area of hospital of Lugo between January 1, 2000 and December 31, 2013. The data source was the centre's minimum basic data set. Results: A total of 149,271 hospital admissions corresponding to 66,286 patients were recorded. Of the total, the percentage of admissions and patients with AF was 17.3% (25,870) and 18.9% (12,512), respectively. The patients with AF were characterized by a larger proportion of women (49.7 vs. 44.3%; P<.0001), advanced age (78.3 [DE 10.2] vs. 67.1 years [DE 17.9]; P<.0001), more chronic diseases (4.2 [DE 2.1] vs. 2.9 [DE 1.9]; P<.001), longer hospital stays (12.5 [DE 12.5] vs. 10.6 [DE 19.9] days; P<.0001) and a high rate of readmissions (3.0 [DE 2.75] vs. 2.1 [DE 2.28]; P<.001), with a progressive shortening of the time between hospitalisations. The department of internal medicine was responsible for the care of more than half of the patients with AR The most common associated secondary diagnoses were chronic obstructive pulmonary disease, stroke, heart failure, ischemic heart disease, other respiratory system diseases and arterial hypertension. Conclusions: AF occurs in highly complex patients, who are mostly hospitalized in internal medicine departments, and is associated with a high rate of readmissions. We need to consider the diseases associated with AF for an overall approach to these patients. (C) 2017 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.

引用

页码：309 / 314

页数：6

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