National Trends of Arrhythmia Hospitalizations and Comorbid Alcohol Use Disorders in the United States

Abstract

Objective To study the trends of arrhythmia hospitalizations with comorbid alcohol use disorders (AUDs) in terms of demographic characteristics and inpatient outcomes. Methods We used the Nationwide Inpatient Sample (NIS) data from 2010 to 2014 and included 570,556 arrhythmia inpatients (age, 15-54 years), and 55,730 inpatients had comorbid AUD. We used the linear-by-linear association test for measuring the differences in demographics, comorbidities, and hospital outcomes over the study period of 2010 to 2014, and the analysis of variance (ANOVA) for measuring the changes seen in the length of stay (LOS) and total charges. Results Arrhythmia inpatients with AUD were majorly males (85.9%), and older-age adults (45 to 54 years, 68%). Hypertension (52.2%), tobacco abuse (42.3%), and elevated cholesterol and lipids (22.6%) were the most prevalent comorbidities in the study population. There was a statistically significant increasing trend in arrhythmia inpatients with AUD with comorbid diabetes, hypertension, and obesity over the five-year period. In-hospital mortality had a variable trend from 1.1% in 2010 to 1.3% in 2014, but there was a statistically non-significant difference in the trend (P = 0.418). Mean LOS was three days with statistically no significant change during the study period (P = 0.080), whereas total charges have been increasing significantly (P <0.001), averaging $37,473 per hospitalization. Conclusion The prevalence trend of arrhythmia hospitalizations with comorbid AUD is increasing in the United States population, and is majorly seen in older-age men. Overall, in-hospital mortality in arrhythmia inpatients with comorbid AUD was 1.4%. So, this necessitates the development of an integrated clinical care model for early diagnosis and management of alcohol abuse and dependence in order to improve the arrhythmia patient outcomes and quality of life.

Malnutrición y Alteraciones Cardiovasculares: Una Revisión Bibliográfica

“…Se realizó un estudio lineal para medir diferencias demográficas comorbilidades y resultados hospitalarios durante el periodo de tiempo desde el 2010 al 2014, en el cual se incluyó a 570556 pacientes hospitalizados con arritmias cardíacas y consumo de alcohol entre las edades de 15 a 54 años y en los principales resultados se encontró que la mayoría de los pacientes hospitalizados eran hombres con comorbilidades como hipertensión arterial, tabaquismo, colesterol y lípidos elevados. De los cuales la mayor tendencia creciente fue en pacientes con diabetes, hipertensión y obesidad durante un periodo de 5 años (Ravat, et al, 2020).…”