BMI differences among in-hospital management and outcomes in patients with atrial fibrillation: findings from the Care for Cardiovascular Disease project in China

被引:4
|
作者
Deng, Fuxue [1 ]
Zhang, Yan [2 ]
Zhao, Qiang [2 ]
Deng, Yangyang [2 ]
Gao, Shanshan [2 ]
Zhang, Lisha [2 ]
Dong, Mengya [2 ]
Yuan, Zuyi [1 ,3 ,4 ]
Lei, Xinjun [1 ,3 ,4 ]
机构
[1] Xi An Jiao Tong Univ, Affiliated Hosp 2, Dept Cardiovasc Med, Xian, Shaanxi, Peoples R China
[2] Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Cardiovasc Med, 277 Yanta West Rd, Xian 710061, Shaanxi, Peoples R China
[3] Xi An Jiao Tong Univ, Key Lab Environm & Genes Related Dis, Minist Educ, Xian, Shaanxi, Peoples R China
[4] Key Lab Mol Cardiol, Xian, Shaanxi, Peoples R China
关键词
Atrial fibrillation; Body mass index; Medical care; Clinical outcomes; BODY-MASS INDEX; RISK-FACTOR; OBESITY; ASSOCIATION; UNDERWEIGHT; ADIPONECTIN; POPULATION; MECHANISMS; GUIDELINES; IMPACT;
D O I
10.1186/s12872-020-01544-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundUnderweight or obese status influences the prognosis of atrial fibrillation (AF). However, the association between stratification of body mass index (BMI) and in-hospital outcomes in patients with AF, remains lacking in China.MethodsUsing data from the Improving Care for Cardiovascular Disease in China-AF project, which was launched in February 2015 and recruited 150 hospitals in China, we compared characteristics, in-hospital treatments and clinical outcomes among the stratifications of BMI for Asians.ResultsA total of 15,867 AF patients with AF were enrolled, including 830 (5.23%) underweight, 4965 (31.29%) with normal weight, 3716 (23.42%) overweight, 5263 (33.17%) obese class I and 1093 (6.89%) obese class II participants. Compared with normal weight patients, underweight, overweight, and obese patients showed increased percentages of CHADS(2) scores (3-6) and CHA(2)DS(2)-VASc scores (5-9). During hospitalization, overweight or obese patients showed greater use of rhythm control medications, anticoagulant drugs, and intervention therapies than underweight-normal weight patients. In adjusted logistic models, BMI was a strong predictor of in-hospital mortality. Especially, underweight BMI was associated with higher incidence of in-hospital mortality, with an adjusted odds ratio of 2.08 (95% confidence interval, 1.56-4.46; p=0.04) than overweight and obese BMI.ConclusionsAsian patients with AF and high BMI received more medical treatments and presented less adverse in-hospital outcomes compared with those with underweight-normal weight. Although low BMI may be associated with other comorbidities and advanced age, underweight BMI retained a negative correlation with all-cause mortality in the patients with AF during hospitalization.
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页数:12
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