RT Journal Article
T1 The Influence of Atrial Fibrillation on In-Hospital Mortality in People with Hospital-Acquired Pneumonia: An Observational, Sex-Stratified Study
A1 Miguel Yanes, José María De
A1 Jiménez García, Rodrigo
A1 Miguel Díez, Javier De
A1 Hernández Barrera, Valentín
A1 Méndez Bailón, Manuel
A1 Zamorano León, José Javier
A1 López De Andrés, Ana Isabel
AB (1) Background: The study aimed to analyze the influence of atrial fibrillation (AF) prior to hospital admission (“prevalent”) and new-onset AF diagnosed during hospital admission (“incident”) on in-hospital mortality (IHM) in women and men who developed hospital-acquired pneumonia (HAP) in Spain (2016–2019).(2) Methods: We used the Spanish Register of Specialized Care-Basic Minimum Database.(3) Results: We analyzed 38,814 cases of HAP (34.6% women; 13.5% ventilator-associated). Prevalent AF was coded in 19.9% (n = 7742), and incident AF in 5.5% (n = 2136) of HAP. Crude IHM was significantly higher for prevalent AF (34.22% vs. 27.35%, p < 0.001) and for incident AF (35.81% vs. 28.31%, p < 0.001) compared to no AF. After propensity score matching, IHM among women and men with prevalent AF was higher than among women and men with no AF (among women, 32.89% vs. 30.11%, p = 0.021; among men, 35.05% vs. 32.46%, p = 0.008). Similarly, IHM among women and men with incident AF was higher than among women and men with no AF (among women, 36.23% vs. 29.90%, p = 0.013; among men, 35.62% vs. 30.47%; p = 0.003). Sex was associated with a higher IHM only in people with incident AF (for female, OR = 1.21; 95% CI: 1.01–1.57).(4) Conclusions: Both prevalent and incident AF were associated with higher IHM in people who developed HAP. Female sex was associated with a higher IHM in incident AF.
PB MPDI
SN 2077-0383
YR 2022
FD 2022
LK https://hdl.handle.net/20.500.14352/71636
UL https://hdl.handle.net/20.500.14352/71636
LA eng
NO Miguel Yanes, J. M., Jiménez García, R., Miguel Díez, J. et al. «The Influence of Atrial Fibrillation on In-Hospital Mortality in People with Hospital-Acquired Pneumonia: An Observational, Sex-Stratified Study». Journal of Clinical Medicine, vol. 11, n.o 5, febrero de 2022, p. 1179. DOI.org (Crossref), https://doi.org/10.3390/jcm11051179.
NO Universidad Complutense de Madrid
DS Docta Complutense
RD 9 abr 2025