Predictors of new-onset atrial fibrillation after hospital admission for coronary artery disease
Characteristic . | Hazard ratio for new-onset AF
(95% confidence interval) . | |
---|---|---|
. | Entire cohort (N = 28 620) . | Propensity-matched cohort (N = 15 174) . |
Univariate analysis | ||
Post-discharge ACEI/ARB use within 1 month | 1.16 (1.11–1.21)* | 1.01 (0.95–1.07) |
Multivariable analysis | ||
Post-discharge ACEI/ARB use within 1 month | 0.99 (0.94–1.04) | 1.01 (0.95–1.07) |
Patient characteristics | ||
Patient age (per additional year) | 1.03 (1.02–1.03)* | 1.03 (1.02–1.03)* |
Male gender | 1.19 (1.13–1.25)* | 1.23 (1.15–1.31)* |
White race | 1.16 (1.08–1.26)* | 1.21 (1.08–1.35)* |
Year of admission (per additional year) | 1.00 (0.99–1.01) | 1.00 (0.98–1.01) |
Diabetes mellitus | 1.16 (1.11–1.21)* | 1.16 (1.09–1.23)* |
Peripheral vascular disease | 1.14 (1.03–1.26)* | 1.12 (1.00–1.27)* |
Congestive heart failure | 1.57 (1.49–1.64)* | 1.58 (1.48–1.69)* |
Stroke | 1.17 (1.08–1.27)* | 1.16 (1.04–1.30)* |
Previous myocardial infarction | 0.93 (0.88–0.98) | 0.94 (0.87–1.01) |
Previous CABG or PCI | 1.04 (0.92–1.16) | 1.04 (0.90–1.21) |
Chronic kidney disease | 1.22 (1.16–1.28)* | 1.24 (1.16–1.32)* |
Hypertension | 1.03 (0.97–1.10) | 1.04 (0.95–1.14) |
Hospital length of stay (per additional day) | 1.00 (1.00–1.01) | 1.01 (1.00–1.01) |
Hospital characteristic | ||
Teaching hospital | 0.96 (0.92–1.00) | 0.98 (0.92–1.04) |
Pre-hospital medications | ||
ACEI/ARB | 1.14 (1.08–1.20)* | 1.15 (1.08, 1.24)* |
Beta-blocker | 0.98 (0.94–1.03) | 0.96 (0.90–1.02) |
Statin | 0.98 (0.93–1.04) | 0.97 (0.90–1.04) |
Post-hospital medications | ||
Statin | 0.92 (0.86–0.98) | 0.94 (0.86–1.02) |
Beta-blocker | 0.94 (0.89–0.98) | 0.98 (0.92–1.05) |
Calcium channel blockers | 1.13 (1.08–1.19)* | 1.10 (1.02–1.18)* |
Digoxin | 1.42 (1.32–1.53)* | 1.35 (1.22–1.48)* |
Characteristic . | Hazard ratio for new-onset AF
(95% confidence interval) . | |
---|---|---|
. | Entire cohort (N = 28 620) . | Propensity-matched cohort (N = 15 174) . |
Univariate analysis | ||
Post-discharge ACEI/ARB use within 1 month | 1.16 (1.11–1.21)* | 1.01 (0.95–1.07) |
Multivariable analysis | ||
Post-discharge ACEI/ARB use within 1 month | 0.99 (0.94–1.04) | 1.01 (0.95–1.07) |
Patient characteristics | ||
Patient age (per additional year) | 1.03 (1.02–1.03)* | 1.03 (1.02–1.03)* |
Male gender | 1.19 (1.13–1.25)* | 1.23 (1.15–1.31)* |
White race | 1.16 (1.08–1.26)* | 1.21 (1.08–1.35)* |
Year of admission (per additional year) | 1.00 (0.99–1.01) | 1.00 (0.98–1.01) |
Diabetes mellitus | 1.16 (1.11–1.21)* | 1.16 (1.09–1.23)* |
Peripheral vascular disease | 1.14 (1.03–1.26)* | 1.12 (1.00–1.27)* |
Congestive heart failure | 1.57 (1.49–1.64)* | 1.58 (1.48–1.69)* |
Stroke | 1.17 (1.08–1.27)* | 1.16 (1.04–1.30)* |
Previous myocardial infarction | 0.93 (0.88–0.98) | 0.94 (0.87–1.01) |
Previous CABG or PCI | 1.04 (0.92–1.16) | 1.04 (0.90–1.21) |
Chronic kidney disease | 1.22 (1.16–1.28)* | 1.24 (1.16–1.32)* |
Hypertension | 1.03 (0.97–1.10) | 1.04 (0.95–1.14) |
Hospital length of stay (per additional day) | 1.00 (1.00–1.01) | 1.01 (1.00–1.01) |
Hospital characteristic | ||
Teaching hospital | 0.96 (0.92–1.00) | 0.98 (0.92–1.04) |
Pre-hospital medications | ||
ACEI/ARB | 1.14 (1.08–1.20)* | 1.15 (1.08, 1.24)* |
Beta-blocker | 0.98 (0.94–1.03) | 0.96 (0.90–1.02) |
Statin | 0.98 (0.93–1.04) | 0.97 (0.90–1.04) |
Post-hospital medications | ||
Statin | 0.92 (0.86–0.98) | 0.94 (0.86–1.02) |
Beta-blocker | 0.94 (0.89–0.98) | 0.98 (0.92–1.05) |
Calcium channel blockers | 1.13 (1.08–1.19)* | 1.10 (1.02–1.18)* |
Digoxin | 1.42 (1.32–1.53)* | 1.35 (1.22–1.48)* |
*P< 0.05.
Predictors of new-onset atrial fibrillation after hospital admission for coronary artery disease
Characteristic . | Hazard ratio for new-onset AF
(95% confidence interval) . | |
---|---|---|
. | Entire cohort (N = 28 620) . | Propensity-matched cohort (N = 15 174) . |
Univariate analysis | ||
Post-discharge ACEI/ARB use within 1 month | 1.16 (1.11–1.21)* | 1.01 (0.95–1.07) |
Multivariable analysis | ||
Post-discharge ACEI/ARB use within 1 month | 0.99 (0.94–1.04) | 1.01 (0.95–1.07) |
Patient characteristics | ||
Patient age (per additional year) | 1.03 (1.02–1.03)* | 1.03 (1.02–1.03)* |
Male gender | 1.19 (1.13–1.25)* | 1.23 (1.15–1.31)* |
White race | 1.16 (1.08–1.26)* | 1.21 (1.08–1.35)* |
Year of admission (per additional year) | 1.00 (0.99–1.01) | 1.00 (0.98–1.01) |
Diabetes mellitus | 1.16 (1.11–1.21)* | 1.16 (1.09–1.23)* |
Peripheral vascular disease | 1.14 (1.03–1.26)* | 1.12 (1.00–1.27)* |
Congestive heart failure | 1.57 (1.49–1.64)* | 1.58 (1.48–1.69)* |
Stroke | 1.17 (1.08–1.27)* | 1.16 (1.04–1.30)* |
Previous myocardial infarction | 0.93 (0.88–0.98) | 0.94 (0.87–1.01) |
Previous CABG or PCI | 1.04 (0.92–1.16) | 1.04 (0.90–1.21) |
Chronic kidney disease | 1.22 (1.16–1.28)* | 1.24 (1.16–1.32)* |
Hypertension | 1.03 (0.97–1.10) | 1.04 (0.95–1.14) |
Hospital length of stay (per additional day) | 1.00 (1.00–1.01) | 1.01 (1.00–1.01) |
Hospital characteristic | ||
Teaching hospital | 0.96 (0.92–1.00) | 0.98 (0.92–1.04) |
Pre-hospital medications | ||
ACEI/ARB | 1.14 (1.08–1.20)* | 1.15 (1.08, 1.24)* |
Beta-blocker | 0.98 (0.94–1.03) | 0.96 (0.90–1.02) |
Statin | 0.98 (0.93–1.04) | 0.97 (0.90–1.04) |
Post-hospital medications | ||
Statin | 0.92 (0.86–0.98) | 0.94 (0.86–1.02) |
Beta-blocker | 0.94 (0.89–0.98) | 0.98 (0.92–1.05) |
Calcium channel blockers | 1.13 (1.08–1.19)* | 1.10 (1.02–1.18)* |
Digoxin | 1.42 (1.32–1.53)* | 1.35 (1.22–1.48)* |
Characteristic . | Hazard ratio for new-onset AF
(95% confidence interval) . | |
---|---|---|
. | Entire cohort (N = 28 620) . | Propensity-matched cohort (N = 15 174) . |
Univariate analysis | ||
Post-discharge ACEI/ARB use within 1 month | 1.16 (1.11–1.21)* | 1.01 (0.95–1.07) |
Multivariable analysis | ||
Post-discharge ACEI/ARB use within 1 month | 0.99 (0.94–1.04) | 1.01 (0.95–1.07) |
Patient characteristics | ||
Patient age (per additional year) | 1.03 (1.02–1.03)* | 1.03 (1.02–1.03)* |
Male gender | 1.19 (1.13–1.25)* | 1.23 (1.15–1.31)* |
White race | 1.16 (1.08–1.26)* | 1.21 (1.08–1.35)* |
Year of admission (per additional year) | 1.00 (0.99–1.01) | 1.00 (0.98–1.01) |
Diabetes mellitus | 1.16 (1.11–1.21)* | 1.16 (1.09–1.23)* |
Peripheral vascular disease | 1.14 (1.03–1.26)* | 1.12 (1.00–1.27)* |
Congestive heart failure | 1.57 (1.49–1.64)* | 1.58 (1.48–1.69)* |
Stroke | 1.17 (1.08–1.27)* | 1.16 (1.04–1.30)* |
Previous myocardial infarction | 0.93 (0.88–0.98) | 0.94 (0.87–1.01) |
Previous CABG or PCI | 1.04 (0.92–1.16) | 1.04 (0.90–1.21) |
Chronic kidney disease | 1.22 (1.16–1.28)* | 1.24 (1.16–1.32)* |
Hypertension | 1.03 (0.97–1.10) | 1.04 (0.95–1.14) |
Hospital length of stay (per additional day) | 1.00 (1.00–1.01) | 1.01 (1.00–1.01) |
Hospital characteristic | ||
Teaching hospital | 0.96 (0.92–1.00) | 0.98 (0.92–1.04) |
Pre-hospital medications | ||
ACEI/ARB | 1.14 (1.08–1.20)* | 1.15 (1.08, 1.24)* |
Beta-blocker | 0.98 (0.94–1.03) | 0.96 (0.90–1.02) |
Statin | 0.98 (0.93–1.04) | 0.97 (0.90–1.04) |
Post-hospital medications | ||
Statin | 0.92 (0.86–0.98) | 0.94 (0.86–1.02) |
Beta-blocker | 0.94 (0.89–0.98) | 0.98 (0.92–1.05) |
Calcium channel blockers | 1.13 (1.08–1.19)* | 1.10 (1.02–1.18)* |
Digoxin | 1.42 (1.32–1.53)* | 1.35 (1.22–1.48)* |
*P< 0.05.
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