Changes in atrial fibrillation admissions following daylight saving time transitions

التفاصيل البيبلوغرافية
العنوان: Changes in atrial fibrillation admissions following daylight saving time transitions
المؤلفون: Alon Y. Mazori, John D. Fisher, Lynn Zaremski, Luigi Di Biase, Jorge Romero, Isaac Dreyfus, Kevin J. Ferrick, Andrew Krumerman, Jay J. Chudow
المصدر: Sleep Medicine. 69:155-158
بيانات النشر: Elsevier BV, 2020.
سنة النشر: 2020
مصطلحات موضوعية: medicine.medical_specialty, Sleep quality, business.industry, Incidence (epidemiology), Atrial fibrillation, Mean age, General Medicine, medicine.disease, 03 medical and health sciences, 0302 clinical medicine, 030228 respiratory system, Internal medicine, Cohort, Ischemic stroke, Cardiology, Medicine, Myocardial infarction, business, 030217 neurology & neurosurgery, Daylight saving time
الوصف: Background Daylight saving time (DST) imposes a twice-yearly hour shift. The transitions to and from DST are associated with decreases in sleep quality and environmental hazards. Detrimental health effects include increased incidence of acute myocardial infarction (MI) following the springtime transition and increased ischemic stroke following both DST transitions. Conditions effecting sleep are known to provoke atrial fibrillation (AF), however the effect of DST transitions on AF are unknown. Methods Admitted patients aged 18–100 with primary ICD9 code of AF between 2009 and 2016 were included. The number of admissions was compiled and means were compared for the Monday to Thursday period and the entire seven day interval following each DST transition and the entire year for the entire cohort and separated by gender. Significance was determined with Wilcoxon nonparametric tests. Results Admission data for 6089 patients were included, with mean age of 68 years and 53% female. A significant increase was found in mean AF admissions over the Monday to Thursday period (3.09 vs 2.47 admissions/day [adm/d], P = 0.017) and entire week (2.48 vs 2.09 adm/d, P = 0.025) following the DST spring transition compared to the yearly mean. When separated by gender, women exhibited an increase in AF admissions following the DST spring transition (1.78 vs 1.28 adm/d for Monday to Thursday period, P = 0.036 and 1.38 vs 1.11 adm/d for entire week, P = 0.050) while a non-significant increase was seen in men. No significant differences were found following the autumn transition for the entire cohort or when separated by gender. Conclusion An increase in AF hospital admissions was found following the DST springtime transition. When separated by gender, this finding persisted only among women. This finding adds to evidence of negative health effects associated with DST transitions and factors that contribute to AF episodes.
تدمد: 1389-9457
DOI: 10.1016/j.sleep.2020.01.018
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::a0d3b10cb1bc438dc932f7c7ce7dd3f2
https://doi.org/10.1016/j.sleep.2020.01.018
Rights: CLOSED
رقم الانضمام: edsair.doi...........a0d3b10cb1bc438dc932f7c7ce7dd3f2
قاعدة البيانات: OpenAIRE
الوصف
تدمد:13899457
DOI:10.1016/j.sleep.2020.01.018