Evidence map›Paper›PMID 36600284›Full record

ArticleBMC medicine2023

Bereavement in childhood and young adulthood and the risk of atrial fibrillation: a population-based cohort study from Denmark and Sweden.

Hua Chen, Imre Janszky, Mikael Rostila, Dang Wei, Fen Yang, Jiong Li, Krisztina D László

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 18% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
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

7 authors at 4 institutions in 3 countries.

Hua ChenDepartment of Global Public Health, Karolinska Institutet, Tomtebodavägen 18A, 171 77, Stockholm, Sweden. hua.chen@ki.se.
Imre JanszkyDepartment of Global Public Health, Karolinska Institutet, Tomtebodavägen 18A, 171 77, Stockholm, Sweden.
Mikael RostilaDepartment of Public Health Sciences, Stockholm University, Stockholm, Sweden.
Dang WeiDepartment of Global Public Health, Karolinska Institutet, Tomtebodavägen 18A, 171 77, Stockholm, Sweden.
Fen YangDepartment of Global Public Health, Karolinska Institutet, Tomtebodavägen 18A, 171 77, Stockholm, Sweden.
Jiong LiDepartment of Clinical Medicine - Department of Clinical Epidemiology, Aarhus University, Aarhus, Denmark.
Krisztina D LászlóDepartment of Global Public Health, Karolinska Institutet, Tomtebodavägen 18A, 171 77, Stockholm, Sweden. krisztina.laszlo@ki.se.
Karolinska Institutet · SEAarhus University · DKCentre for Health Equity Studies · SENorwegian University of Science and Technology · NO

Funding

China Scholarship Council 201700260276China Scholarship Council 201700260296Heart and Lung Foundation 20180306Independent Research Fund Denmark DFF-1030-00012BIndependent Research Fund Denmark DFF-6110-00019BIndependent Research Fund Denmark DFF-9039-00010BKaren Elise Jensens Fond 2016Karolinska Institutet's Research Foundation 2018-01547Karolinska Institutet's Research Foundation 2018-01924Karolinska Institutet's Research Foundation 2020-01600Nordic Cancer Union R275-A15770Nordic Cancer Union R278-A15877Novo Nordisk Foundation NNF18OC0052029Swedish Council for Working Life and Social Research 2015-00837
6 · The paper itself

Abstract

backgroundAdverse childhood life events are associated with increased risks of hypertension, ischemic heart disease, and stroke later in life. Limited evidence also suggests that stress in adulthood may increase the risk of atrial fibrillation (AF). Whether childhood adversity may lead to the development of AF is unknown. We investigated whether the loss of a parent or sibling in childhood is associated with an increased risk of AF and compared this effect to that of similar losses in young adulthood.

methodsWe studied 6,394,975 live-born individuals included in the Danish (1973-2018) and Swedish Medical Birth Registers (1973-2014). We linked data from several national registers to obtain information on the death of parents and siblings and on personal and familial sociodemographic and health-related factors. We analyzed the association between bereavement and AF using Poisson regression.

resultsLoss of a parent or sibling was associated with an increased AF risk both when the loss occurred in childhood and in adulthood; the adjusted incident rate ratios and 95% confidence intervals were 1.24 (1.14-1.35) and 1.24 (1.16-1.33), respectively. Bereavement in childhood was associated with AF only if losses were due to cardiovascular diseases or other natural causes, while loss in adulthood was associated with AF not only in case of natural deaths, but also unnatural deaths. The associations did not differ substantially according to age at loss and whether the deceased was a parent or a sibling.

conclusionsBereavement both in childhood and in adulthood was associated with an increased AF risk.

Indexed as

Atrial FibrillationBereavementParental DeathAdultCohort StudiesDenmarkFemaleHumansRisk FactorsSwedenYoung AdultAtrial fibrillationBereavementDeath of the parentDeath of the siblingStress

Identifiers

PMID36600284
PMCPMC9814172
OpenAlexW4313490232

What OpenQuestion holds

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Registered trials

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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.