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Table 1 Patient characteristics of the AF study population

From: Gastrointestinal comorbidities associated with atrial fibrillation

Variable

All AF patients (N = 557,123)

AF patients without history of GI at baseline (N = 413,168)

Mean follow-up period, days (SD)

543.2 (455.0)

563.3 (457.9)

Demographics

  

Age, years, mean (SD) [median]

68.2 (14.9) [70]

67.7 (15) [69]

Female, n (%)

249,331 (44.8%)

177,888 (43.1%)

Region, n (%)

  

South

210,204 (37.7%)

155,089 (37.5%)

West

93,857 (16.8%)

71,646 (17.3%)

North Central

179,174 (32.2%)

131,464 (31.8%)

Northeast

72,331 (13.0%)

53,792 (13.0%)

Unknown

1,557 (0.3%)

1,177 (0.3%)

Type of insurance, n (%)

  

Comprehensive

177,702 (31.9%)

129,040 (31.2%)

EPO

1,335 (0.2%)

1,076 (0.3%)

HMO

69,097 (12.4%)

53,120 (12.9%)

POS

26,145 (4.7%)

19,932 (4.8%)

PPO

259,366 (46.6%)

192,305 (46.5%)

POS with capitation

2,308 (0.4%)

1,808 (0.4%)

CDHP

4,567 (0.8%)

3,689 (0.9%)

Other/Unknown

16,603 (3.0%)

12,198 (3.0%)

Year of index date, n (%)

  

2005

81,555 (14.6%)

62,282 (15.1%)

2006

105,630 (19.0%)

79,372 (19.2%)

2007

108,170 (19.4%)

80,423 (19.5%)

2008

123,788 (22.2%)

91,663 (22.2%)

2009

137,980 (24.8%)

99,428 (24.1%)

Charlson comorbidity indexa, mean (SD)

1.36 (1.93)

1.05 (1.57)

CHADS2a,b score, n (%)

  

0

165,936 (29.8%)

134,997 (32.7%)

1-2

318,530 (57.2%)

233,956 (56.6%)

3-4

66,436 (11.9%)

41,209 (10.0%)

5-6

6,221 (1.1%)

3,006 (0.7%)

History of GIa, n (%)

  

Any GI condition

143,955 (25.8%)

0 (0.0%)

GI events based on the RE-LY study classificationc

87,017 (15.6%)

0 (0.0%)

Dyspepsiad

64,202 (11.5%)

0 (0.0%)

Diarrhea

12,693 (2.3%)

0 (0.0%)

Vomiting

15,448 (2.8%)

0 (0.0%)

Gastrointestinal bleeding

15,466 (2.8%)

0 (0.0%)

Other GI events

  

Gastroesophageal reflux disease

21,373 (3.8%)

0 (0.0%)

Diverticula of intestine

19,640 (3.5%)

0 (0.0%)

Other disorders of intestine

15,008 (2.7%)

0 (0.0%)

Gastritis and duodenitis

13,923 (2.5%)

0 (0.0%)

Dysphagia

13,306 (2.4%)

0 (0.0%)

Constipation

10,669 (1.9%)

0 (0.0%)

Noninfectious gastroenteritis and colitis

9,166 (1.6%)

0 (0.0%)

Esophagitis

9,220 (1.7%)

0 (0.0%)

Nausea Alone

6,532 (1.2%)

0 (0.0%)

Malignant neoplasm of digestive organs and peritoneum

9,702 (1.7%)

0 (0.0%)

Flatulence, eructation, and gas pain

4,868 (0.9%)

0 (0.0%)

Peptic ulcer diseases

4,352 (0.8%)

0 (0.0%)

Any GI-related hospitalization

43,851 (7.9%)

0 (0.0%)

Other comorbiditiesa, n (%)

  

Cardiovascular diseases

295,617 (53.1%)

202,017 (48.9%)

Chronic kidney disease

36,187 (6.5%)

20,521 (5.0%)

Diabetes

111,423 (20.0%)

76,751 (18.6%)

Hypertension

218,765 (39.3%)

148,707 (36.0%)

Arthritis

70,882 (12.7%)

47,053 (11.4%)

Any cancer

74,954 (13.5%)

42,829 (10.4%)

Baseline medicationa, n (%)

  

Medications that may cause GI events

359,398 (64.5%)

257,357 (62.3%)

Anticoagulants

105,367 (18.9%)

80,059 (19.4%)

Antiplatelets

55,143 (9.9%)

37,887 (9.2%)

Corticosteroids

58,065 (10.4%)

36,247 (8.8%)

NSAIDs

67,179 (12.1%)

47,315 (11.5%)

SSRIs

57,567 (10.3%)

37,959 (9.2%)

Calcium channel blockers

107,587 (19.3%)

77,563 (18.8%)

Bisphosphonates

35,491 (6.4%)

24,934 (6.0%)

Antibiotic

154,004 (27.6%)

105,071 (25.4%)

Pain medications (opioids)

134,460 (24.1%)

84,629 (20.5%)

Antineoplastic

15,634 (2.8%)

8,978 (2.2%)

Anesthesia medication

236 (0.0%)

119 (0.0%)

Medications used to treat poisonings

145 (0.0%)

80 (0.0%)

Iron-related medication

89 (0.0%)

44 (0.0%)

Medications used to treat GI events

162,016 (29.1%)

91,083 (22.0%)

Antacids

124 (0.0%)

78 (0.0%)

Antidiarrheals

6,895 (1.2%)

2,592 (0.6%)

Antiemetics

14,165 (2.5%)

7,138 (1.7%)

Digestive aids

1,198 (0.2%)

429 (0.1%)

Gastrointestinal medications

19,550 (3.5%)

7,709 (1.9%)

Laxatives

24,122 (4.3%)

7,893 (1.9%)

Ulcer drugs

133,053 (23.9%)

76,924 (18.6%)

Proton Pump Inhibitors

110,762 (19.9%)

62,566 (15.1%)

H-2 Antagonists

22,720 (4.1%)

14,862 (3.6%)

  1. AF atrial fibrillation, GI gastrointestinal, EPO Exclusive Provider Organization, HMO health maintenance organization, POS point of service, PPO preferred provider organization, CDHP Consumer Directed Health Plans, SSRI selective serotonin reuptake inhibitors, NSAIDs nonsteroidal anti-inflammatory drugs.
  2. aBased on a baseline period of 180 days prior to index date.
  3. bCHADS2 score was calculated as 1 point for congestive heart failure, hypertension, age ≥75, and diabetes mellitus, and 2 points for prior stroke or transient ischemic attack (Source: Gage Circulation 2004).
  4. cIncluding dyspepsia, diarrhea, vomiting, and gastrointestinal bleeding.
  5. dIncluding abdominal pain upper, abdominal pain, abdominal discomfort, and dyspepsia.