{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T13:21:28Z","timestamp":1788009688493,"version":"build-2784847793"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2018,4,17]],"date-time":"2018-04-17T00:00:00Z","timestamp":1523923200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Cardiovascular Nursing"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Atrial fibrillation represents a substantial clinical and public health issue. The definitive impact of body mass index on prognosis of patients with chronic (persistent or permanent) atrial fibrillation remains undetermined. <\/jats:p><\/jats:sec><jats:sec><jats:title>Aim:<\/jats:title><jats:p> The purpose of this study was to investigate the association of body mass index with health outcomes (mortality and re-hospitalisation) of patients with chronic atrial fibrillation. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> Using data from the Standard versus Atrial Fibrillation spEcific managemenT strategY (SAFETY) trial (a randomised controlled trial of home-based, atrial fibrillation-specific disease management), we performed post-hoc analyses of mortality and re-hospitalisation outcomes during minimum 24-month follow-up according to baseline body mass index profile. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Of 297 participants (mean age 71\u00b111 years, 47% female, mean body mass index 29.6\u00b16.7 kg\/m<jats:sup>2<\/jats:sup>), 35.0% of participants were overweight (body mass index 25.0\u201329.9 kg\/m<jats:sup>2<\/jats:sup>) and 43.1% were obese (body mass index\u226530 kg\/m<jats:sup>2<\/jats:sup>). During follow-up, n=42 died including 16\/65 (24.6%) classified as normal body mass index, 16\/104 (15.4%) classified as overweight and 10\/128 (7.8%) classified as obese. Increasing body mass index was not associated with increased mortality but was associated with re-hospitalisation due to cardiovascular disease with greater length-of-stay (odds ratio 1.05; 95% confidence interval 1.00\u20131.09, p=0.032). Obese individuals experienced increased unplanned admissions compared to overweight individuals (incidence rate ratio 0.71; 95% confidence interval 0.53\u20130.96, p=0.028), and increased cardiovascular-related (incidence rate ratio 0.58; 95% confidence interval 0.39\u20130.86, p=0.007) and all-cause admissions (incidence rate ratio 0.63; 95% confidence interval 0.45\u20130.89, p=0.008) compared to those classified as normal body mass index. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Overweight and obesity were not associated with survival in patients with chronic atrial fibrillation but were associated with more frequent hospital care and prolonged stay. <\/jats:p><\/jats:sec>","DOI":"10.1177\/1474515118772446","type":"journal-article","created":{"date-parts":[[2018,4,17]],"date-time":"2018-04-17T13:53:22Z","timestamp":1523973202000},"page":"627-636","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Impact of body mass index on mortality and hospitalisation of patients with atrial fibrillation"],"prefix":"10.1093","volume":"17","author":[{"given":"Jocasta","family":"Ball","sequence":"first","affiliation":[{"name":"Pre-Clinical Disease and Prevention, Baker Heart and Diabetes Institute, Australia"},{"name":"School of Public Health and Preventive Medicine, Monash University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maja-Lisa","family":"L\u00f8chen","sequence":"additional","affiliation":[{"name":"Pre-Clinical Disease and Prevention, Baker Heart and Diabetes Institute, Australia"},{"name":"Department of Community Medicine, UiT The Arctic University of Norway, Norway"},{"name":"Mary MacKillop Institute for Health Research, Australian Catholic University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda J","family":"Carrington","sequence":"additional","affiliation":[{"name":"Pre-Clinical Disease and Prevention, Baker Heart and Diabetes Institute, Australia"},{"name":"School of Public Health and Preventive Medicine, Monash University, Australia"},{"name":"Mary MacKillop Institute for Health Research, Australian Catholic University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua F","family":"Wiley","sequence":"additional","affiliation":[{"name":"School of Psychological Sciences, Monash University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Stewart","sequence":"additional","affiliation":[{"name":"Mary MacKillop Institute for Health Research, Australian Catholic University, 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