Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/20189
Full metadata record
DC FieldValueLanguage
dc.contributor.authorLoader, Jordan-
dc.contributor.authorChan, Yih-Kai-
dc.contributor.authorHawley, John A-
dc.contributor.authorMoholdt, Trine-
dc.contributor.authorMcDonald, Christine F-
dc.contributor.authorJhund, Pardeep-
dc.contributor.authorPetrie, Mark C-
dc.contributor.authorMcMurray, John J-
dc.contributor.authorScuffham, Paul A-
dc.contributor.authorRamchand, Jay-
dc.contributor.authorBurrell, Louise M-
dc.contributor.authorStewart, Simon-
dc.date2019-01-02-
dc.date.accessioned2019-02-04T23:34:04Z-
dc.date.available2019-02-04T23:34:04Z-
dc.date.issued2019-03-15-
dc.identifier.citationInternational Journal of Cardiology 2019; 279: 126-132en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/20189-
dc.description.abstractPeaks and troughs in cardiovascular events correlated with seasonal change is well established from an epidemiological perspective but not a clinical one. Retrospective analysis of the recruitment, baseline characteristics and outcomes during minimum 12-month exposure to all four seasons in 1598 disease-management trial patients hospitalised with chronic heart disease. Seasonality was prospectively defined as ≥4 hospitalisations (all-cause) AND >45% of related bed-days occurring in any one season during median 988 (IQR 653, 1394) days follow-up. Patients (39% female) were aged 70 ± 12 years and had a combination of coronary artery disease (58%), heart failure (54%), atrial fibrillation (50%) and multimorbidity. Overall, 29.9% of patients displayed a pattern of seasonality. Independent correlates of seasonality were female gender (adjusted OR 1.27, 95% CI 1.01-1.61; p = 0.042), mild cognitive impairment (adjusted OR 1.51, 95% CI 1.16-1.97; p = 0.002), greater multimorbidity (OR 1.20, 95% CI 1.15-1.26 per Charlson Comorbidity Index Score; p < 0.001), higher systolic (OR 1.01, 95%CI 1.00-1.01 per 1 mmHg; p = 0.002) and lower diastolic (OR 0.99, 95% CI 0.98-1.00 per 1 mmHg; p = 0.002) blood pressure. These patients were more than two-fold more likely to die (adjusted HR 2.16, 95% CI 1.60-2.90; p < 0.001) with the highest and lowest number of deaths occurring during spring (31.7%) and summer (19.9%), respectively. Despite high quality care and regardless of their diagnosis, we identified a significant proportion of "seasonal frequent flyers" with concurrent poor survival in this real-world cohort of patients with chronic heart disease.en_US
dc.language.isoeng-
dc.subjectAtrial fibrillationen_US
dc.subjectCardiovascular diseaseen_US
dc.subjectCardiovascular seasonalityen_US
dc.subjectCoronary artery diseaseen_US
dc.subjectHeart failureen_US
dc.titlePrevalence and profile of "seasonal frequent flyers" with chronic heart disease: Analysis of 1598 patients and 4588 patient-years follow-up.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleInternational Journal of Cardiologyen_US
dc.identifier.affiliationMary Mackillop Institute for Health Research, Australian Catholic University, Melbourne, Australiaen_US
dc.identifier.affiliationSchool of Medicine, Menzies Health Institute Queensland, Griffith University, Nathan, Australiaen_US
dc.identifier.affiliationMedicine (University of Melbourne)en_US
dc.identifier.affiliationRespiratory and Sleep Medicineen_US
dc.identifier.affiliationCardiologyen_US
dc.identifier.affiliationUniversity of Cape Town, Cape Town, South Africa.en_US
dc.identifier.affiliationDepartment of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norwayen_US
dc.identifier.affiliationBritish Heart Foundation Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdomen_US
dc.identifier.doi10.1016/j.ijcard.2018.12.060en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0003-1863-7539en_US
dc.identifier.orcid0000-0001-6481-3391en_US
dc.identifier.pubmedid30638747-
dc.type.austinJournal Article-
local.name.researcherBurrell, Louise M
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptRespiratory and Sleep Medicine-
crisitem.author.deptCardiology-
crisitem.author.deptMedicine (University of Melbourne)-
crisitem.author.deptCardiology-
crisitem.author.deptGeneral Medicine-
crisitem.author.deptMedicine (University of Melbourne)-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

38
checked on Mar 28, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.