Evidence map›Paper›PMID 31300069›Full record

ArticleBMC research notes2019

Temporal trends and factors associated with increased mortality among atrial fibrillation weekend hospitalizations: an insight from National Inpatient Sample 2005-2014.

Dinesh C Voruganti, Ghanshyam Shantha, Sushma Dugyala, Naga Venkata K Pothineni, Deobrat Chandra Mallick, Abhishek Deshmukh, Ala Mohsen, Stephanie S Colello, Mohammed Saeed, Rakesh Latchamsetty and 4 more

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In one paragraph

Article in BMC research notes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Dinesh C VorugantiDivision of Internal Medicine, Roy and Lucille J. Carver College of Medicine, University of Iowa Hospitals and Clinics, 200 Hawkins Dr., Internal Medicine, Iowa City, IA, 52242, USA. dinesh-voruganti@uiowa.edu.ORCID http://orcid.org/0000-0001-9975-2971
Ghanshyam ShanthaDivision of Electrophysiology, University of Michigan, Ann Arbor, MI, USA.
Sushma DugyalaDivision of Internal Medicine, University of Alabama, Tuscaloosa, USA.
Naga Venkata K PothineniDivision of Cardiovascular Medicine, University of Arkansas, Little Rock, AR, USA.
Deobrat Chandra MallickDepartment of Hospital Medicine, Spohn Shoreline Hospital, Corpus Christi, TX, USA.
Abhishek DeshmukhDivision of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Ala MohsenDivision of Cardiovascular Medicine, Louisiana State University, New Orleans, LA, USA.
Stephanie S ColelloDivision of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Mohammed SaeedDivision of Electrophysiology, University of Michigan, Ann Arbor, MI, USA.
Rakesh LatchamsettyDivision of Electrophysiology, University of Michigan, Ann Arbor, MI, USA.
Krit JongnarangsinDivision of Electrophysiology, University of Michigan, Ann Arbor, MI, USA.
Frank PelosiDivision of Electrophysiology, University of Michigan, Ann Arbor, MI, USA.
Ryan M CarnahanCollege of Public Health, University of Iowa, Iowa City, IA, USA.
Michael GiudiciDivision of Cardiovascular Medicine, Electrophysiology, Roy and Lucille J. Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAtrial fibrillation (AF) weekend hospitalizations were reported to have poor outcomes compared to weekday hospitalizations. The relatively poor outcomes on the weekends are usually referred to as 'weekend effect'. We aim to understand trends and outcomes among weekend AF hospitalizations. The primary purpose of this study is to evaluate the trends for weekend AF hospitalizations using Nationwide Inpatient Sample 2005-2014. Hospitalizations with AF as the primary diagnosis, in-hospital mortality, length of stay, co-morbidities and cardioversion procedures have been identified using the international classification of diseases 9 codes.

resultsSince 2005, the weekend AF hospitalizations increased by 27% (72,216 in 2005 to 92,220 in 2014), mortality decreased by 29% (1.32% in 2005 to 0.94% in 2014), increase in urban teaching hospitalizations by 72% (33.32% in 2005 to 57.64% in 2014), twofold increase in depression and a threefold increase in the prevalence of renal failure were noted over the period of 10 years. After adjusting for significant covariates, weekend hospitalizations were observed to have higher odds of in-hospital mortality OR 1.17 (95% CI 1.108-1.235, P < 0.0001). Weekend AF hospitalizations appear to be associated with higher in-hospital mortality. Opportunities to improve care in weekend AF hospitalizations need to be explored.

Indexed as

AdultAgedAged, 80 and overAtrial FibrillationDatabases, FactualFemaleHospitalizationHospital MortalityHumansInpatientsLength of StayMaleMiddle AgedPrevalenceTime FactorsUnited StatesAtrial fibrillationIn-hospital mortalityWeekend hospitalization

Identifiers

PMID31300069
PMCPMC6626408

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.