RT Journal Article
T1 Observational Study of the Association between Atrial Fibrillation and In-Hospital Mortality during Hospitalization for Solid Organ Transplants in Spain from 2004 to 2021
A1 Miguel Yanes, José María De
A1 López De Andrés, Ana Isabel
A1 Jiménez García, Rodrigo
A1 Zamorano León, José Javier
A1 Carabantes Alarcón, David
A1 Hernández-Barrera, Valentín
A1 Miguel Díez, Javier De
A1 Carricondo Orejana, Francisco Javier
A1 Romero Gómez, Bárbara
A1 Cuadrado Corrales, María Natividad
AB Background: We analyzed the association between atrial fibrillation or atrial flutter (AF) and in-hospital mortality (IHM) among patients who underwent solid organ transplants in Spain from 2004 to 2021. (2) Methods: We gathered information from all hospital admissions for lung, liver, kidney, and heart transplants. (3) Results: A total of 71,827 transplants were analyzed (4598 lung transplants; 18,127 liver transplants; 45,262 kidney transplants; and 4734 heart transplants). One third of these were for women. Overall, the prevalence of AF was 6.8% and increased from 5.3% in 2004-2009 to 8.6% in 2016-2021. The highest prevalence of AF was found for heart transplants (24.0%), followed by lung transplants (14.7%). The rates for kidney and liver transplants were 5.3% and 4.1%, respectively. The AF code increased over time for all of the transplants analyzed (p < 0.001). The patients' IHM decreased significantly from 2004-2009 to 2016-2021 for all types of transplants. AF was associated with a higher IHM for all of the types of transplants analyzed, except for heart transplants. (4) Conclusions: The prevalence of AF among patients admitted for solid organ transplants was highest for those who underwent heart transplants. The mortality rate during the patients' admission for lung, liver, kidney, or heart transplants decreased over time. AF was independently associated with a higher risk of dying in the hospital for those who underwent lung, liver, or kidney transplants.
PB MDPI
SN 2077-0383
YR 2023
FD 2023-11-13
LK https://hdl.handle.net/20.500.14352/93291
UL https://hdl.handle.net/20.500.14352/93291
LA eng
NO de-Miguel-Yanes, J. M., Lopez-de-Andres, A., Jimenez-Garcia, R., Zamorano-Leon, J. J., Carabantes-Alarcon, D., Hernández-Barrera, V., De-Miguel-Diez, J., Carricondo, F., Romero-Gomez, B., & Cuadrado-Corrales, N. (2023). Observational Study of the Association between Atrial Fibrillation and In-Hospital Mortality during Hospitalization for Solid Organ Transplants in Spain from 2004 to 2021. Journal of clinical medicine, 12(22), 7056. https://doi.org/10.3390/jcm12227056
NO Comunidad Autónoma de Madrid
NO Universidad Complutense de Madrid
DS Docta Complutense
RD 22 abr 2025