Trends in case-fatality in 22968 patients admitted for the first time with atrial fibrillation in Scotland, 1986-1995

International Journal of Cardiology
S StewartJ J V McMurray

Abstract

Although atrial fibrillation (AF) is an important cause of cardiovascular morbidity and mortality there is a paucity of data describing hospitalisation rates and case-fatality associated with this common arrhythmia. This study examines recent trends in first-ever hospitalisations for AF in Scotland. Using the linked Scottish Morbidity Record Scheme, we identified all 22968 patients admitted to Scottish hospitals for the first time with a principal diagnosis of AF between 1986 and 1995. For each calendar year we calculated short (30-day) and medium (31 day to 2 years) case-fatality rates. Adjusting for each patient's age, sex, deprivation status, concurrent diagnoses and prior hospitalisation status, we examined whether case-fatality rates had significantly improved during this 10-year period. Between 1986 and 1995 the number of men hospitalised for the first time with AF increased by 926 (125%) to 1730 per annum and the number of women and by 875 (105%) to 1712 (both P<0.001). Hospitalisation rates increased from 0.31 to 0.70/1000 men and from 0.32 to 0.65/1000 women (both P<0.001). By the end of this period the proportion of men had increased from 48 to 50%. In both sexes, the median age of patients rose--in men from 66 to 68 ...Continue Reading

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Citations

Jun 1, 2005·International Journal of Cardiology·Lars FrostLeif Spange Mortensen
Dec 6, 2002·The New England Journal of Medicine·D G WyseUNKNOWN Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) Investigators
May 10, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hrafnhildur StefansdottirDavid O Arnar
May 20, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jonas Bjerring OlesenDeirdre A Lane
Apr 4, 2012·International Journal of Cardiology·Sean D SullivanStephen A Mitchell
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Apr 17, 2007·International Journal of Cardiology·Melinda CarringtonSimon Stewart
Mar 31, 2015·International Journal of Cardiology·Sirin ApiyasawatPiyamitr Sritara
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Apr 3, 2004·The Journal of Cardiovascular Nursing·Simon Stewart
Aug 8, 2009·Pacing and Clinical Electrophysiology : PACE·James A Reiffel

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