ArticleStroke (Hoboken, N.J.)2024
Atrial Fibrillation: Prevalence and Association With Outcome in Patients With Stroke Undergoing Mechanical Thrombectomy in the United States.
Article in Stroke (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Diagnostic accuracy of ECG smart chest patches versus PPG smartwatches for atrial fibrillation detection: a systematic review and meta-analysis.BMC cardiovascular disorders · 2025Pooled it
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Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: How the prevalence of atrial fibrillation (AF) has changed over time in various demographic subgroups of patients with acute ischemic stroke (AIS) undergoing mechanical thrombectomy (MT) in the United States is unknown. Whether in-hospital outcomes differ between patients with AF versus patients without AF after MT remains uncertain. Methods: We conducted a serial cross-sectional study using all primary AIS discharges in the 2010 to 2020 National Inpatient Sample. Discharges with MT codes were identified (n = 155 277), and the proportion with AF in various age, sex, and racial subgroups were computed. We used multivariable-adjusted negative binomial regression to compare AF prevalence between demographic subgroups and joinpoint regression to evaluate trends over time. Multivariable-adjusted generalized linear models were used to evaluate the association of AF with in-hospital outcomes. Results: Across the study period, 45.0% of AIS discharges with MT had AF, but prevalence varied by age, sex, and race or ethnicity. After multivariable adjustment, AF prevalence was 4% higher in women versus men (prevalence rate ratio, 1.04 [95% CI, 1.01-1.07]) and was lower in Black versus White (prevalence rate ratio, 0.80 [95% CI, 0.77-0.84]) but higher in Asian compared with White discharges (prevalence rate ratio, 1.11 [95% CI, 1.05-1.18]). Prevalence increased with age (prevalence rate ratio for ≥80 years versus 18-39 years, 5.23 [95% CI, 4.28-6.39]). Following joinpoint regression, prevalence increased by 3.2% (95% CI, 1.3%-5.2%) annually across the period 2010 to 2015 but declined by -2.2% (95% CI -2.9% to -1.4%) from 2015 to 2020. AF was associated with 22% lower odds of in-hospital death (odds ratio, 0.78 [95% CI, 0.71-0.85]) and 13% greater odds of routine home discharge (odds ratio, 1.13 95% CI, 1.04-1.22]) compared with no AF. Conclusion: AF prevalence in patients undergoing MT in the United States is approximately twice that of the general AIS population. AF prevalence in MT increased from 2010 to 2015 but declined from 2015 to 2020. In the subset of patients with AIS undergoing MT, AF is associated with reduced in-hospital death.
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