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Prevalence of cardiovascular risk factors and financial burden in younger adults hospitalized with atrial fibrillation

Published:February 19, 2020DOI:https://doi.org/10.1016/j.hrtlng.2020.02.001

      Highlights

      • There is a decreasing trend in hospital admissions among young adults with atrial fibrillation.
      • The frequency of hypertension, diabetes and obesity among young adults admitted with atrial fibrillation nearly doubled from 2005 to 2015.
      • There was also a marked increase in the frequency of obstructive sleep apnea, alcohol abuse and drug abuse among patients admitted with atrial fibrillation.
      • In the last decade there has been a substantial rise in the cardiovascular risk in the cardiovascular risk factors among young.
      • There was an increase in the mean cost of hospitalization from 2005 to 2015.

      Abstract

      Introduction

      Atrial fibrillation is the most frequently occurring and studied arrhythmia. There is a limited data on young patients presenting with atrial fibrillation.

      Objective

      The objective of this research article was to assess the trend of hospitalization, epidemiological characteristics and economic burden in the young adult, aged 18–45 years, presenting with atrial fibrillation.

      Methods

      Hospitalization data from the National Inpatient Sample between 2005 and 2015 were used to analyze prevalence of risk factors and financial burden in young adults with atrial fibrillation.

      Results

      From 2005 to 2015, a total of 260,080 admissions were included in the study. From 2005 to 2015, there was a decreasing trend of total admissions with atrial fibrillation among the age group of 18–45 years compared to total admissions due to atrial fibrillation and total population. However, there was an increasing trend of admission observed in young females, white and black population. The frequency of hypertension, diabetes and obesity among young adults admitted with atrial fibrillation nearly doubled from 2005 to 2015. There was also a marked increase in the frequency of obstructive sleep apnea, alcohol abuse and drug abuse among patients admitted with atrial fibrillation. Furthermore, there was an increase in the mean cost of hospitalization from $7363 in 2005 to $7924 in 2015, Ptrend < 0.001.

      Conclusion

      In conclusion, increased cardiovascular risk factors among young adult with admissions for atrial fibrillation warrants controlling of the risk factors to further curtail hospitalizations.

      Keywords

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