{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T04:08:30Z","timestamp":1780805310803,"version":"3.54.1"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,8,8]],"date-time":"2020-08-08T00:00:00Z","timestamp":1596844800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The frequency and temporal trend in the prevalence of arrhythmias and associated in\u2010hospital outcomes in patients with sickle cell disease (SCD) have never been quantified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Our study cohort of SCD patients and sub\u2010types of arrhythmias were derived from the 2010\u20102014 National Inpatient Sample using relevant diagnostic codes. The frequency and trends of arrhythmia and odds of inpatient mortality were measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 891\u00a0450 hospitalized SCD patients were identified, of which, 55\u00a0616 (6.2%) patients experienced arrhythmias. The SCD cohort with arrhythmia demonstrated higher all\u2010cause mortality (2.7% vs 0.4%; adjusted OR 2.53, 95% CI 2.15\u20102.97, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), prolonged hospital stays (6.9 vs 5.0\u00a0days) and higher hospital charges ($53\u00a0871 vs $30\u00a0905) relative to those without arrhythmias (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001).The frequency of supraventricular arrhythmia (AFib, SVT, and AF) and ventricular arrhythmia (VFib and VT) were 1893 and 362 per 100\u00a0000 SCD\u2010related admissions, respectively. Unspecified arrhythmias (4126) were seen most frequently followed by AFib (1622) per 100\u00a0000 SCD\u2010related admissions. From 2010 to 2014, the frequency of any arrhythmias and atrial fibrillation in hospitalized SCD patients relatively increased by 29.6% and 38.5%, respectively. There was nearly a twofold (2.4% in 2010 to 5.0% in 2014) increase in the frequency of arrhythmia among patients aged &lt;18\u00a0years. The frequency of arrhythmias in hospitalized male and female SCD patients relatively increased by 28.8% and 31.4%, respectively (<jats:italic>P<\/jats:italic><jats:sub>trend<\/jats:sub>\u00a0&lt;\u00a0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The frequency of arrhythmias among SCD patients is on the rise with worse hospitalization outcomes, including higher in\u2010hospital mortality and higher resource utilization as compared to those without arrhythmias.<\/jats:p><\/jats:sec>","DOI":"10.1002\/joa3.12418","type":"journal-article","created":{"date-parts":[[2020,8,8]],"date-time":"2020-08-08T07:42:55Z","timestamp":1596872575000},"page":"1068-1073","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Sickle cell disease\u2010associated arrhythmias and in\u2010hospital outcomes: Insights from the National Inpatient Sample"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4403-0768","authenticated-orcid":false,"given":"Upenkumar","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Nassau University Medical Center East Meadow NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5315-6426","authenticated-orcid":false,"given":"Rupak","family":"Desai","sequence":"additional","affiliation":[{"name":"Division of Cardiology Atlanta VA Medical Center Decatur GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bishoy","family":"Hanna","sequence":"additional","affiliation":[{"name":"Division of Cardiology Morehouse School of Medicine Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhruval","family":"Patel","sequence":"additional","affiliation":[{"name":"AMC MET Medical College L.G Hospital Ahmedabad Gujarat 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Medicine Atlanta GA USA"},{"name":"Division of Cardiology Medical College of Georgia Augusta GA 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