Weekend versus weekday hospitalization and clinical outcomes in atrial fibrillation patients with and without stroke

PurposeThe relation between hospitalization timing and risk of clinical outcomes among patients with atrial fibrillation (AF) with and without stroke remained undetermined.MethodsRehospitalization due to AF, cardiovascular (CV) death and all-cause mortality were the outcomes of interest in this stud...

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Published inPostgraduate medical journal Vol. 99; no. 1171; pp. 470 - 475
Main Authors Hu, Wei Syun, Lin, Cheng-Li
Format Journal Article
LanguageEnglish
Published England The Fellowship of Postgraduate Medicine 08.06.2023
Oxford University Press
Subjects
Alcohol
Anticoagulants
Cardiac arrhythmia
Cardiovascular disease
Chronic obstructive pulmonary disease
Clinical outcomes
Comorbidity
Coronary vessels
Diabetes
Heart failure
Hospitalization
Hypertension
Illnesses
Kidney diseases
Obesity
Original research
Software
Stroke
Vein & artery diseases
Taiwan
Stroke
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Summary:PurposeThe relation between hospitalization timing and risk of clinical outcomes among patients with atrial fibrillation (AF) with and without stroke remained undetermined.MethodsRehospitalization due to AF, cardiovascular (CV) death and all-cause mortality were the outcomes of interest in this study. Multivariable Cox proportional hazard model was applied to estimate the adjusted hazard ratio (HR) and 95% confidence interval (CI).ResultsWhile considering patients with AF hospitalized during weekdays without stroke as the reference group, patients with AF hospitalized during weekends with stroke had the risk of AF rehospitalization, CV death and all-cause death by 1.48 (95% CI 1.44 to 1.51), 1.77 (95% CI 1.71 to 1.83) and 1.17 (95% CI 1.15 to 1.19) times, respectively.ConclusionPatients with AF hospitalized during weekends with stroke had the worst clinical outcomes.
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ISSN:0032-5473
1469-0756
1469-0756
DOI:10.1136/postgradmedj-2022-141684