Incident Atrial Fibrillation and In-Hospital Mortality in SARS-CoV-2 Patients Article Swipe
Alessandro Maloberti
,
Cristina Giannattasio
,
Paola Rebora
,
Giuseppe Occhino
,
Nicola Ughi
,
Marco Biolcati
,
Elena Gualini
,
Jacopo Giulio Rizzi
,
Michela Algeri
,
Valentina Giani
,
Claudio Rossetti
,
Oscar Massimiliano Epis
,
Giulio Molon
,
Anna Beltrame
,
Paolo Bonfanti
,
Maria Grazia Valsecchi
,
Simonetta Genovesi
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/biomedicines10081940
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/biomedicines10081940
(1) Background: Among the different cardiovascular (CV) manifestations of the coronavirus disease 2019 (COVID-19), arrhythmia and atrial fibrillation (AF) in particular have recently received special attention. The aims of our study were to estimate the incidence of AF in patients hospitalized for COVID-19, and to evaluate its role as a possible predictor of in-hospital all-cause mortality. (2) Methods: We enrolled 3435 people with SARS-CoV2 infection admitted to three hospitals in Northern Italy from February 2020 to May 2021. We collected data on their clinical history, laboratory tests, pharmacological treatment and intensive care unit (ICU) admission. Incident AF and all-cause in-hospital mortality were considered as outcomes. (3) Results: 145 (4.2%) patients developed AF during hospitalization, with a median time since admission of 3 days (I-III quartile: 0, 12). Patients with incident AF were admitted more frequently to the ICU (39.3 vs. 12.4%, p < 0.001), and more frequently died (37.2 vs. 16.9%, p < 0.001). In the Cox regression model, the significant determinants of incident AF were age (HR: 1.041; 95% CI: 1.022, 1.060 per year), a history of AF (HR: 2.720; 95% CI: 1.508, 4.907), lymphocyte count (HR: 0.584; 95% CI: 0.384, 0.888 per 103/µL), estimated glomerular filtration rate (eGFR, HR: 0.988; 95% CI: 0.980, 0.996 per mL/min) and ICU admission (HR: 5.311; 95% CI: 3.397, 8.302). Incident AF was a predictor of all-cause mortality (HR: 1.405; 95% CI: 1.027, 1.992) along with age (HR: 1.057; 95% CI: 1.047, 1.067), male gender (HR: 1.315; 95% CI: 1.064; 1.626), dementia (HR: 1.373; 95% CI: 1.045, 1.803), lower platelet (HR: 0.997; 95% CI: 0.996, 0.998 per 103/µL) and lymphocyte counts (HR: 0.843; 95% CI: 0.725, 0.982 per 103/µL), C-Reactive protein values (HR: 1.004; 95% CI: 1.003, 1.005 per mg/L), eGFR (HR: 0.990; 95% CI: 0.986, 0.994 per mL/min), and ICU admission (HR: 1.759; 95% CI: 1.292, 2.395). (4) Conclusions: Incident AF is a common complication in COVID-19 patients during hospitalization, and its occurrence strongly predicts in-hospital mortality.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/biomedicines10081940
- https://www.mdpi.com/2227-9059/10/8/1940/pdf?version=1660138752
- OA Status
- gold
- Cited By
- 12
- References
- 50
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4292506207
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4292506207Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/biomedicines10081940Digital Object Identifier
- Title
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Incident Atrial Fibrillation and In-Hospital Mortality in SARS-CoV-2 PatientsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-08-10Full publication date if available
- Authors
-
Alessandro Maloberti, Cristina Giannattasio, Paola Rebora, Giuseppe Occhino, Nicola Ughi, Marco Biolcati, Elena Gualini, Jacopo Giulio Rizzi, Michela Algeri, Valentina Giani, Claudio Rossetti, Oscar Massimiliano Epis, Giulio Molon, Anna Beltrame, Paolo Bonfanti, Maria Grazia Valsecchi, Simonetta GenovesiList of authors in order
- Landing page
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https://doi.org/10.3390/biomedicines10081940Publisher landing page
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https://www.mdpi.com/2227-9059/10/8/1940/pdf?version=1660138752Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://www.mdpi.com/2227-9059/10/8/1940/pdf?version=1660138752Direct OA link when available
- Concepts
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Medicine, Atrial fibrillation, Internal medicine, Incidence (geometry), Intensive care unit, Quartile, Proportional hazards model, Pediatrics, Confidence interval, Physics, OpticsTop concepts (fields/topics) attached by OpenAlex
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12Total citation count in OpenAlex
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2024: 3, 2023: 9Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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