Cannabis use disorder among atrial fibrillation admissions, 2008-2018

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BACKGROUND: Despite changes inthe legality of cannabis use and the increasing prevalence of cannabis use disorder (CUD), there is little data investigating the association between CUD and inpatient atrial fibrillation (AF) hospitalizations.

METHODS: Using the National Inpatient Sample, we identified Atrial Fibrillation (AF) hospitalizations with and without a codiagnosis of CUD using International Classification of Diseases diagnosis codes and compared demographics, socioeconomics, comorbidities, outcomes, and trends between cohorts.

RESULTS: Between 2008 and 2018, we identified 5,155,789 admissions for AF of which 31,768 (0.6%) had a codiagnosis of CUD. The proportion of admissions with a history of CUD increased from 0.3% in 2008 to 1.0% in 2018 (p < .001). Hospital discharges of patients with CUD were significantly younger (53 vs. 72 years, p < .001), had a higher proportion of black race (CUD: 26.6% vs. 8.0%, p < .001), and had a higher proportion of income in the lowest income quartile than without a codiagnosis of CUD (CUD: 40.5% vs. 26.2%, p < .001).

CONCLUSIONS: CUD is increasingly prevalent among AF hospitalizations, particularly among young patients. Codiagnosis of CUD in AF hospitalizations is also more common in underserved patients. As a result, it is important for future research to examine and understand the impact of CUD on this population, particularly in the light of changing legislation surrounding the legality of cannabis.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Pacing and clinical electrophysiology : PACE - 44(2021), 11 vom: 15. Nov., Seite 1934-1938

Sprache:

Englisch

Beteiligte Personen:

Chouairi, Fouad [VerfasserIn]
Miller, P Elliott [VerfasserIn]
Guha, Avirup [VerfasserIn]
Clarke, John-Ross [VerfasserIn]
Reinhardt, Samuel W [VerfasserIn]
Ahmad, Tariq [VerfasserIn]
Freeman, James V [VerfasserIn]
Desai, Nihar R [VerfasserIn]
Friedman, Daniel J [VerfasserIn]

Links:

Volltext

Themen:

Atrial fibrillation
Cannabis use disorder
Disparities
Journal Article
NIS
National Inpatient Sample
Outcomes

Anmerkungen:

Date Completed 27.01.2022

Date Revised 11.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/pace.14356

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM330488651