Evidence map›Paper›PMID 41840436›Full record

ArticleBMC public health2026

Mortality trends in older adults (55-84 years) with sepsis-atrial fibrillation: a CDC database analysis.

Jiahang Li, Yadong Long, Bitao Xiang, Zhao Li

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Jiahang Li *Department of Cardiovascular Surgery, Xiangya Hospital, Central South University, Changsha, China.
Yadong Long *Department of Cardiovascular Surgery, Xiangya Hospital, Central South University, Changsha, China.
Bitao XiangDepartment of Cardiovascular Surgery, Xiangya Hospital, Central South University, Changsha, China. Bitao_Xiang@csu.edu.cn.
Zhao LiDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, Hunan, China. zhaoli0207@163.com.

Funding

Hunan Provincial Natural Science Foundation of China 2025JJ70612
6 · The paper itself

Abstract

backgroundSepsis is a leading cause of mortality among older adults, and atrial fibrillation (AF), as a common comorbidity, significantly increases the risk of adverse outcomes. This study aimed to investigate nationwide mortality trends, racial and regional disparities, and contributing factors in adults aged 55–84 years with sepsis-AF.

methodsWe analyzed CDC WONDER mortality data for adults aged 55–84 years (1999–2020), defining cases as deaths with sepsis (A40–A41) as the underlying cause and AF (I48) listed as a contributing condition anywhere on the certificate. Individuals aged 55–84 years with sepsis-AF noted on death certificates were included. Age-adjusted mortality rates (AAMR) were calculated based on the 2000 US standard population. Temporal trends in AAMR were assessed using Joinpoint regression, and analyses were stratified by race and geographic region.

resultsThe overall AAMR increased significantly from 0.64 to 1.57 per 100,000 (145% rise; average annual percent change [AAPC] = 4.49%). Marked disparities were observed: males exhibited 30.7% higher mortality than females by 2020; Black individuals showed higher mean AAMR throughout the study period though rates converged statistically by 2020; and the South recorded the highest regional AAMR while the West showed the largest relative increase. AAMR surged across all groups in 2020, coinciding with the COVID-19 pandemic.

conclusionsMortality due to sepsis-AF among older adults aged 55–84 years in the US has exhibited a sustained upward trajectory, accompanied by significant demographic and regional disparities. Targeted public health interventions are essential to address these inequalities and mitigate mortality in high-risk populations.

Indexed as

Atrial FibrillationMortalitySepsisAgedAged, 80 and overCenters for Disease Control and Prevention, U.S.Databases, FactualFemaleHumansMaleMiddle AgedUnited StatesAtrial fibrillationCDC WONDERDisparityMortalitySepsis

Identifiers

PMID41840436
PMCPMC13104485

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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.