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The impact of education level on all-cause mortality in patients with atrial fibrillation
Örebro University, School of Medical Sciences. Department of Cardiology, School of Medical Sciences, Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-1036-8090
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Cardiology.ORCID iD: 0000-0002-4288-3310
Clinical Epidemiology and Biostatistics, School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Department of Occupational and Environmental Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
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2024 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 14, no 1, article id 25386Article in journal (Refereed) Published
Abstract [en]

The association of socioeconomic status with cardiovascular morbidity and mortality is well known, but data on the influence of education level on mortality in individuals with atrial fibrillation (AF) are scarce. We investigated education level as a predictor of all-cause mortality in patients diagnosed with AF. This retrospective cohort study used a database created from several Swedish nationwide registries to identify all patients hospitalized with a diagnosis of AF hospitalized from 1995 to 2008. Education level was categorized as primary, secondary, and academic. All-cause mortality risk was estimated in subpopulations defined by the Charlson Comorbidity Index and several comorbidities. A total of 272,182 patients (56% male; mean age 72 ± 10 years) were followed for five years. Cox regression models showed a reduction in all-cause mortality risk with increased education level. Hazard ratios (HR) relative to primary education remained significant after stratification and adjustment for several confounders: secondary education HR = 0.88; 95% CI: 0.86-0.89; P < 0.001; academic education HR = 0.70; 95% CI: 0.67-0.72; P < 0.001. Subpopulation analyses confirmed a significant reduction in relative risk with higher education level. Targeted screening and education programs could be effective in reducing mortality in AF patients with fewer years of formal education.

Place, publisher, year, edition, pages
Nature Publishing Group, 2024. Vol. 14, no 1, article id 25386
Keywords [en]
All-cause mortality, Atrial fibrillation, Education level, Socioeconomic status
National Category
Cardiology and Cardiovascular Disease
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URN: urn:nbn:se:oru:diva-117060DOI: 10.1038/s41598-024-74478-2ISI: 001342770900125PubMedID: 39455584Scopus ID: 2-s2.0-85207838720OAI: oai:DiVA.org:oru-117060DiVA, id: diva2:1908537
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Örebro UniversityAvailable from: 2024-10-28 Created: 2024-10-28 Last updated: 2025-02-10Bibliographically approved

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Sztaniszlav, AronBjörkenheim, AnnaPoçi, Dritan

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