{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:27:46Z","timestamp":1788827266923,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"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":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Atrial fibrillation (AF) is the most common arrhythmia worldwide. However, data regarding readmissions following index admission for AF in the developing world are not well described. This study assessed the rate, predictors, and trends of 6\u2010month readmission after index admission for AF in Syria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We included adult patients who had an index admission with AF to Latakia's tertiary center between July 2021 and November 2023. Patients were monitored for readmission for 6 months after index discharge. Data were taken from the patient's medical notes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 649 patients were included in the final analysis, of which 320 (49%) were readmitted to the hospital within 6 months following index admission. Cardiac causes were the most common cause of readmission in 76% of patients, of which 70% were AF. Readmitted patients had a higher median age (64 vs. 58; <jats:italic>p<\/jats:italic>\u2009=\u20090.001) and fewer males (49% vs. 36%; <jats:italic>p<\/jats:italic>\u2009=\u20090.001). In multivariate analysis, factors that independently increased 6\u2010month readmission risk were age \u2265\u200960 years (hazard ratio [HR]: 1.7, 95% CI: 1.4\u22122.2), females (HR: 2.2, 95% CI: 1.6\u22122.7), and congestive heart failure (CCF) (HR: 2.1, 95% CI: 1.4\u22122.6). Most cardiac readmissions (76%) happened during the first 60 days following index discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Almost half the patients were readmitted within 6 months after an index admission for AF. Females, CCF, and advancing age were independently associated with an increased risk of 6\u2010month readmission.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.16579","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T11:18:53Z","timestamp":1736767133000},"page":"582-588","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Six\u2010Month Emergent Readmissions Following Hospitalization for Atrial Fibrillation Amid the Syrian Conflict: A Real\u2010World Observational Cohort Study"],"prefix":"10.1111","volume":"36","author":[{"given":"Ibrahim","family":"Antoun","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Sciences University of Leicester Leicester UK"},{"name":"Faculty of Medicine University of Aleppo Aleppo Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alkassem","family":"Alkhayer","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Tishreen's Hospital Latakia Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alamer","family":"Alkhayer","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Tishreen's Hospital Latakia Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Yazji","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Aleppo Aleppo Syria"},{"name":"Department of Cardiology The View Hospital Qatar Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riyaz","family":"Somani","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences University of Leicester Leicester UK"},{"name":"Department of Cardiology University Hospitals of Leicester NHS Trust, Glenfield Hospital Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. Andr\u00e9","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences University of Leicester Leicester UK"},{"name":"Department of Cardiology University Hospitals of Leicester NHS Trust, Glenfield Hospital Leicester UK"},{"name":"Department of Research NIHR Leicester Biomedical Research Centre Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Zakkar","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences University of Leicester Leicester UK"},{"name":"Department of Cardiac Surgery University Hospitals of Leicester NHS Trust, Glenfield Hospital Leicester UK"},{"name":"Faculty of Medicine University of Damascus Damascus Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvaa241"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/14779072.2018.1457953"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.24207\/jca.v34i1.3430"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijregi.2022.12.009"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinpr.2024.100362"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-021-00762-9"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-024-04203-4"},{"key":"e_1_2_13_9_1","doi-asserted-by":"crossref","DOI":"10.1177\/02676591241259140","article-title":"Atrial Fibrillation Inpatient Management Patterns and Clinical Outcomes During the Conflict in Syria: An Observational Cohort Study","author":"Antoun I.","year":"2024","journal-title":"Perfusion"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.022388"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp120461"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.119.013026"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2017.04.040"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2022.02.006"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2016.11.022"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1474515120911607"},{"issue":"5","key":"e_1_2_13_17_1","first-page":"380","article-title":"Emergent Readmission and Long\u2010Term Mortality Risk After Incident Atrial Fibrillation Hospitalisation","volume":"109","author":"Weber C.","year":"2023","journal-title":"Heart (British Cardiac Society)"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0770.102275"},{"issue":"1","key":"e_1_2_13_19_1","first-page":"237","article-title":"Access to Medicines in Times of Conflict: Overlapping Compliance and Accountability Frameworks for Syria","volume":"20","author":"Leyh B. M.","year":"2018","journal-title":"Health and Human Rights"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/2047487318780435"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0256829"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0803563"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.113.000126"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.10.047"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2016.0529"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.16579","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T04:11:53Z","timestamp":1741839113000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.16579"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,13]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/jce.16579"],"URL":"https:\/\/doi.org\/10.1111\/jce.16579","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,13]]},"assertion":[{"value":"2024-11-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}