Impact of Atrial Fibrillation on Pregnancy Outcomes
Author Information
Author(s): Muacevic Alexander, Adler John R, Siochi Christian, Segura Torres Danny, Cervantes Wilmer, Rabadi Marie, Machado Carvalhais Ricardo, Sobieraj Peter, Jesmajian Stephen
Primary Institution: Montefiore New Rochelle Hospital, Albert Einstein College of Medicine, New Rochelle, USA
Hypothesis
What is the impact of atrial fibrillation during delivery on maternal outcomes?
Conclusion
Atrial fibrillation significantly worsens inpatient outcomes for pregnant patients during delivery.
Supporting Evidence
- Patients with AF had almost 20 times more chance of dying while admitted compared to those without AF.
- The AF cohort stayed for one and a half days longer in the hospital.
- Patients with AF spent 19,294.05 more dollars during their hospital stay.
- The AF cohort was subjected 2.68 times more to blood transfusions.
- Patients with AF had a higher rate of respiratory complications requiring endotracheal intubation.
Takeaway
Pregnant women with atrial fibrillation are much more likely to have serious problems during and after delivery.
Methodology
Retrospective cohort study using discharge data from the National Inpatient Sample (NIS) from 2016 to 2020.
Potential Biases
Potential misclassification of data variables due to inaccuracies in coding.
Limitations
The study relies on administrative data, which may lack clinical detail and accuracy in coding.
Participant Demographics
Mean age of patients with AF was 31.23 years; majority were White.
Statistical Information
P-Value
<0.001
Confidence Interval
95% CI: 4.33-84.45
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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