Atrial fibrillation inpatient management patterns and clinical outcomes during the conflict in Syria: An observational cohort study
Rattachement africain : sy, gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background Atrial fibrillation (AF) is the most common sustained arrhythmia worldwide. However, there is no data on AF inpatient management strategies and clinical outcomes in Syria. Objectives The study aims were to review the inpatient management of patients with AF and assess cardiovascular (CV) mortality in a tertiary cardiology centre in Latakia, Syria. Methods A single-centre retrospective observational cohort study was conducted at Tishreen’s University Hospital, Latakia, Syria, from June 2021 to June 2023. Patients ≥16 years of age presenting and being treated for AF as the primary diagnosis with or without a thromboembolic event were included. Medical records were examined for patients’ demographics, laboratory results, treatment plans and inpatient details. Studied outcomes include inpatient all-cause and CV mortality, ischemic and bleeding events, and conversion to sinus rhythm (SR). Results The study included 596 patients. The median age was 58, and 61% were males. 121 patients (20.3%) were known to have AF. A rhythm control strategy was pursued in 39% of patients. Ischemic and bleeding events occurred in 62 (11%) and 12 (2%), respectively. CV and all-cause mortality occurred in 28 (4.7%) and 31 patients (5%), respectively. The presence of valvular heart disease (VHD) (adjusted odds ratio (aOR) = 9.1, 95% confidence interval (CI): 1.7 to 55.1, p < .001), thyroid disease (aOR: 9.7, 95% CI = 1.2 to 91.6, p < .001) and chronic obstructive pulmonary disease (COPD) (aOR: 82, 95% CI: 12.7 to 71, p < .001) were independent risk factors of increased CV inpatient mortality. Conclusion Syrian inpatients admitted with AF in Latakia are relatively younger than those in other countries. Active thyroid disease, COPD and VHD were independent risk factors of inpatient CV mortality with AF.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Atrial fibrillation inpatient management patterns and clinical outcomes during the conflict in Syria: An observational cohort study
- Date Crossref
- 03/06/2024
- Éditeur
- SAGE Publications
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
University of Aleppo pays non établi dans la noticeUniversité ou école supérieure
-
University of Leicester Department of Cardiovascular Sciences pays non établi dans la noticeUniversité ou école supérieure
-
Leicestershire Partnership NHS Trust pays non établi dans la noticeÉtablissement de santé
-
Latakia University pays non établi dans la noticeUniversité ou école supérieure
-
Imperial College London Department of Research pays non établi dans la noticeUniversité ou école supérieure
-
Glenfield Hospital pays non établi dans la noticeÉtablissement de santé
-
University Hospitals of Leicester NHS Trust Department of Cardiology pays non établi dans la noticeÉtablissement de santé
-
NIHR Leicester Biomedical Research Centre pays non établi dans la noticeStructure de recherche
-
Damascus University pays non établi dans la noticeUniversité ou école supérieure
-
Faculty of Medicine pays non établi dans la noticeUniversité ou école supérieure
-
Department of Psychiatry pays non établi dans la noticeInstitution
-
University of Tishreen’s Hospital Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
University of Aleppo, Department of Cardiovascular Sciences — University of Leicester et Leicestershire Partnership NHS Trust, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.