Journal Club - Prevalence of AFib with End-Stage COPD


Calgary, Alberta


Sep 20, 2019

Discussion topic and resource: Prevalence of Atrial Fibrillation in Hospital Encounters with End-Stage COPD on Home Oxygen.

Reference: Xiaochun Xiao, MPH; Hedong Han, PhD; Cheng Wu PhD; Qian He, PhD; Yiming Ruan, MS; Yinghong Zhai, PhD; Yongqing Gao, MS; Xinxin Zhao, PhD; and Jia He, MD, PhD.
Chest 2019; 155(5): 918-922.

Original Research COPD, American college of Chest Physicians. Published by Elsivier Inc. 2019

Lead by:  Dr. Tourin
Duration: 30 minutes
Discussion: evaluation of the prevalence of atrial fibrillation (AF) in hospital encounters with end-stage COPD on home oxygen admitted for COPD exacerbation.

This study included all patients > 18 years of age with a primary diagnosis of COPD on home oxygen who were hospitalized for COPD exacerbation. We used multivariet-adjusted models to evaluate the association of AF with clinical factors, cost, length of stay, and hospital outcomes.

Conclusion:  AF prevalence in hospital encounters with end-stag COPD increased from 2003-2014. Better management strategies for patients with end-stage COPD comorbid with AF are needed, especially in elderly individuals.