{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:35:07Z","timestamp":1792787707676,"version":"4.5.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"British Heart Foundation Research Excellence","award":["RE\/24\/130031"],"award-info":[{"award-number":["RE\/24\/130031"]}],"id":[{"id":"https:\/\/ror.org\/02wdwnk04","id-type":"ROR","asserted-by":"crossref"}]},{"name":"British Heart Foundation Programme","award":["RG\/17\/3\/32774"],"award-info":[{"award-number":["RG\/17\/3\/32774"]}],"id":[{"id":"https:\/\/ror.org\/02wdwnk04","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Medical Research Council Biomedical Catalyst Developmental Pathway Funding Scheme","award":["MR\/S037306\/1"],"award-info":[{"award-number":["MR\/S037306\/1"]}]},{"name":"NIHR i4i","award":["NIHR204553"],"award-info":[{"award-number":["NIHR204553"]}]},{"name":"British Heart Foundation","award":["CH\/12\/1\/29419"],"award-info":[{"award-number":["CH\/12\/1\/29419"]}],"id":[{"id":"https:\/\/ror.org\/02wdwnk04","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Leicester NIHR Biomedical Research Centre","award":["NIHR203327"],"award-info":[{"award-number":["NIHR203327"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Atrial fibrillation (AF) is the most common arrhythmia worldwide, yet long-term outcomes in conflict-affected regions are poorly understood. Gender-based disparities in AF outcomes have been reported in high-income countries but remain unexplored in fragile healthcare systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study at Latakia's University Hospital in Latakia, Syria between June\/2021-November\/2023. Adult patients admitted with primary AF were followed for 1\u00a0year to assess unplanned readmissions. Data on unplanned readmissions were defined as non-elective hospitalisations occurring within 1\u00a0year after index discharge. These were unscheduled admissions, usually prompted by recurrence of symptoms, acute decompensation, or cardiovascular events. Data were collected from medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the included 657 patients (52% male, median age 60\u00a0years), 422 (64%) had at least one unplanned readmission within 1\u00a0year. Cardiac causes accounted for 67% of readmissions, with recurrent AF responsible for 75% of those. Females had higher all-cause (73% vs 56%) and cardiovascular (53% vs 34%) readmission rates than males (both\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). On multivariable analysis, independent predictors of readmission included female sex (HR 1.7, 95% CI 1.4\u20132.0), age \u226560 (HR 3.7, 95% CI 2.9\u20134.6), diabetes mellites (DM) (HR 1.5, 95% CI 1.2\u20131.8), and congestive heart failure (CCF) (HR 3.3, 95% CI 2.6\u20134.6). Females were more likely to have two (44%) or three or more (44%) readmissions than males.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>One-year readmissions after AF admission were high, particularly among females. Female gender was an independent risk factor, highlighting the need for gender-sensitive follow-up strategies in resource-limited settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591251407291","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T20:53:57Z","timestamp":1764795237000},"page":"1134-1141","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Gender differences in one-year unplanned readmissions in atrial fibrillation: Trends from a conflict-stricken country"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4374-7476","authenticated-orcid":false,"given":"Ibrahim","family":"Antoun","sequence":"first","affiliation":[{"name":"University of Leicester"},{"name":"University of Aleppo"},{"name":"University Hospitals of Leicester NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alkassem","family":"Alkhayer","sequence":"additional","affiliation":[{"name":"University of Latakia\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alamer","family":"Alkhayer","sequence":"additional","affiliation":[{"name":"University of Latakia\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aref","family":"Jalal Eldin","sequence":"additional","affiliation":[{"name":"University of Latakia\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgia R","family":"Layton","sequence":"additional","affiliation":[{"name":"University of Leicester"},{"name":"University Hospitals of Leicester NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riyaz","family":"Somani","sequence":"additional","affiliation":[{"name":"University of Leicester"},{"name":"University Hospitals of Leicester NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G Andr\u00e9","family":"Ng","sequence":"additional","affiliation":[{"name":"University of Leicester"},{"name":"University Hospitals of Leicester NHS Trust"},{"name":"Leicester British Heart Foundation Centre of Research Excellence, Leicester, UK"},{"name":"Leicester National Institute for Health and Care Research Biomedical Research Centre, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Zakkar","sequence":"additional","affiliation":[{"name":"University of Leicester"},{"name":"University Hospitals of Leicester NHS Trust"},{"name":"Leicester British Heart Foundation Centre of Research Excellence, Leicester, UK"},{"name":"University of Damascus"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,3]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvaa241"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/14779072.2018.1457953"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijregi.2022.12.009"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinpr.2024.100362"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-021-00762-9"},{"issue":"3","key":"e_1_3_6_7_2","first-page":"267659124125914","article-title":"Atrial fibrillation inpatient management patterns and clinical outcomes during the conflict in Syria: an observational cohort study","volume":"40","author":"Antoun I","year":"2024","unstructured":"Antoun I, Aljabal M, Alkhayer A, et al. Atrial fibrillation inpatient management patterns and clinical outcomes during the conflict in Syria: an observational cohort study. 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