Increasing trends in hospitalization for atrial fibrillation in the united states, 1985 through 1999 - Implications for primary prevention
Increasing trends in hospitalization for atrial fibrillation in the united states, 1985 through 1999 - Implications for primary prevention
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DOI：
10.1161/01.cir.0000083722.42033.0a
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发表时间：
2003-08-12
期刊：
影响因子：
37.8
通讯作者：
Croft, JB
中科院分区：
文献类型：
--
作者：
Wattigney, WA;Mensah, GA;Croft, JB
背景-心房颤动，最常见的持续性心律失常，与缺血性stroke.Methods和Results-The National Hospital Discharge Survey的发病率增加5倍有关，用于估计35岁或以上男性和女性心房颤动住院的年度数量和患病率。从1985年到1999年，因首次诊断住院的人数从154 086人增加到376 487人，因任何诊断住院的人数从787 750人增加到2 283 673人。各年龄组的患病率较高。男性的标准化患病率始终高于女性。在1999年，原发性高血压、缺血性心脏病、充血性心力衰竭和糖尿病是突出的共存疾病。出院回家的男性患者人数从77%下降到63%，而出院接受长期护理的人数从9%上升到15%;女性的相应数值分别为72%到56%和15%到23%。出院到短期护理略有增加，而没有趋势，注意到在医院mortality. Conclusions住院治疗房颤显着增加（2- 3倍），近年来。房颤的公共卫生负担是巨大的，预计在未来几十年将继续增加。必须认识到房颤的一级预防，并将其作为降低心血管发病率和死亡率的补充管理策略。
Background-Atrial fibrillation, the most common sustained disturbance of heart rhythm, is associated with a 5-fold increase in the incidence of ischemic stroke.Methods and Results-The National Hospital Discharge Survey was used to estimate the annual number and prevalence of hospitalizations with atrial fibrillation among men and women 35 years of age or older. From 1985 through 1999, hospitalizations increased from 154 086 to 376 487 for a first-listed diagnosis and from 787 750 to 2 283 673 for any diagnosis. Prevalence was higher among successive age groups. Age-standardized prevalence was consistently higher among men than women. In 1999, essential hypertension, ischemic heart disease, congestive heart failure, and diabetes were prominent coexisting conditions. The number of male patients discharged home decreased from 77% to 63%, whereas the number of discharges to long-term care increased from 9% to 15%; the corresponding values for women were 72% to 56% and 15% to 23%. A slight increase in discharges to short-term care was indicated, whereas no trends were noted for in-hospital mortality.Conclusions-Hospitalizations for atrial fibrillation have increased dramatically (2- to 3-fold) in recent years. The public health burden of atrial fibrillation is enormous and expected to continue to increase over the next decades. Primary prevention of atrial fibrillation must be recognized and pursued as a complementary management strategy for reducing cardiovascular morbidity and mortality.