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J Epidemiol. 2016 May 5;26(5):272-6. doi: 10.2188/jea.JE20150077. Epub 2016 Jan 23.

Standardized Prevalence Ratios for Atrial Fibrillation in Adult Dialysis Patients in Japan.

Author information

1
Department of Hygiene and Preventive Medicine, Iwate Medical University.

Abstract

BACKGROUND:

While it is assumed that dialysis patients in Japan have a higher prevalence of atrial fibrillation (AF) than the general population, the magnitude of this difference is not known.

METHODS:

Standardized prevalence ratios (SPRs) for AF in dialysis patients (n = 1510) were calculated compared to data from the general population (n = 26 454) living in the same area.

RESULTS:

The prevalences of AF were 3.8% and 1.6% in dialysis patients and the general population, respectively. In male subjects, these respective values were 4.9% and 3.3%, and in female subjects they were 1.6% and 0.6%. The SPRs for AF were 2.53 (95% confidence interval [CI], 1.88-3.19) in all dialysis patients, 1.80 (95% CI, 1.30-2.29) in male dialysis patients, and 2.13 (95% CI, 0.66-3.61) in female dialysis patients.

CONCLUSIONS:

The prevalence of AF in dialysis patients was twice that in the population-based controls. Since AF strongly contributes to a higher risk of cardiovascular mortality and morbidity in the general population, further longitudinal studies should be conducted regarding the risk of several outcomes attributable to AF among Japanese dialysis patients.

PMID:
26804038
PMCID:
PMC4848326
DOI:
10.2188/jea.JE20150077
[Indexed for MEDLINE]
Free PMC Article

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