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Changes in atrial fibrillation admissions following daylight saving time transitions.
Sleep Med. 2020 05; 69:155-158.SM

Abstract

BACKGROUND

Daylight saving time (DST) imposes a twice-yearly hour shift. The transitions to and from DST are associated with decreases in sleep quality and environmental hazards. Detrimental health effects include increased incidence of acute myocardial infarction (MI) following the springtime transition and increased ischemic stroke following both DST transitions. Conditions effecting sleep are known to provoke atrial fibrillation (AF), however the effect of DST transitions on AF are unknown.

METHODS

Admitted patients aged 18-100 with primary ICD9 code of AF between 2009 and 2016 were included. The number of admissions was compiled and means were compared for the Monday to Thursday period and the entire seven day interval following each DST transition and the entire year for the entire cohort and separated by gender. Significance was determined with Wilcoxon nonparametric tests.

RESULTS

Admission data for 6089 patients were included, with mean age of 68 years and 53% female. A significant increase was found in mean AF admissions over the Monday to Thursday period (3.09 vs 2.47 admissions/day [adm/d], P = 0.017) and entire week (2.48 vs 2.09 adm/d, P = 0.025) following the DST spring transition compared to the yearly mean. When separated by gender, women exhibited an increase in AF admissions following the DST spring transition (1.78 vs 1.28 adm/d for Monday to Thursday period, P = 0.036 and 1.38 vs 1.11 adm/d for entire week, P = 0.050) while a non-significant increase was seen in men. No significant differences were found following the autumn transition for the entire cohort or when separated by gender.

CONCLUSION

An increase in AF hospital admissions was found following the DST springtime transition. When separated by gender, this finding persisted only among women. This finding adds to evidence of negative health effects associated with DST transitions and factors that contribute to AF episodes.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Department of Medicine, Cardiology Division, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Department of Medicine, Cardiology Division, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Department of Medicine, Cardiology Division, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Department of Medicine, Cardiology Division, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Department of Medicine, Cardiology Division, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Department of Medicine, Cardiology Division, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Department of Medicine, Cardiology Division, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Department of Medicine, Cardiology Division, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Department of Medicine, Cardiology Division, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. Electronic address: akrumerm@montefiore.org.

MeSH

AgedAtrial FibrillationCircadian RhythmFemaleHospitalizationHumansIncidenceMaleMyocardial InfarctionPatient AdmissionPhotoperiodRetrospective StudiesSex FactorsSleepStrokeSurveys and QuestionnairesTime FactorsUnited States

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32088351

Citation

Chudow, Jay J., et al. "Changes in Atrial Fibrillation Admissions Following Daylight Saving Time Transitions." Sleep Medicine, vol. 69, 2020, pp. 155-158.

Chudow JJ, Dreyfus I, Zaremski L, et al. Changes in atrial fibrillation admissions following daylight saving time transitions. Sleep Med. 2020;69:155-158.

Chudow, J. J., Dreyfus, I., Zaremski, L., Mazori, A. Y., Fisher, J. D., Di Biase, L., Romero, J., Ferrick, K. J., & Krumerman, A. (2020). Changes in atrial fibrillation admissions following daylight saving time transitions. Sleep Medicine, 69, 155-158. https://doi.org/10.1016/j.sleep.2020.01.018

Chudow JJ, et al. Changes in Atrial Fibrillation Admissions Following Daylight Saving Time Transitions. Sleep Med. 2020;69:155-158. PubMed PMID: 32088351.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Changes in atrial fibrillation admissions following daylight saving time transitions. AU - Chudow,Jay J, AU - Dreyfus,Isaac, AU - Zaremski,Lynn, AU - Mazori,Alon Y, AU - Fisher,John D, AU - Di Biase,Luigi, AU - Romero,Jorge, AU - Ferrick,Kevin J, AU - Krumerman,Andrew, Y1 - 2020/01/27/ PY - 2019/10/20/received PY - 2020/01/13/revised PY - 2020/01/15/accepted PY - 2020/2/24/pubmed PY - 2021/4/10/medline PY - 2020/2/24/entrez KW - Atrial fibrillation KW - Daylight saving time KW - Risk factors SP - 155 EP - 158 JF - Sleep medicine JO - Sleep Med VL - 69 N2 - BACKGROUND: Daylight saving time (DST) imposes a twice-yearly hour shift. The transitions to and from DST are associated with decreases in sleep quality and environmental hazards. Detrimental health effects include increased incidence of acute myocardial infarction (MI) following the springtime transition and increased ischemic stroke following both DST transitions. Conditions effecting sleep are known to provoke atrial fibrillation (AF), however the effect of DST transitions on AF are unknown. METHODS: Admitted patients aged 18-100 with primary ICD9 code of AF between 2009 and 2016 were included. The number of admissions was compiled and means were compared for the Monday to Thursday period and the entire seven day interval following each DST transition and the entire year for the entire cohort and separated by gender. Significance was determined with Wilcoxon nonparametric tests. RESULTS: Admission data for 6089 patients were included, with mean age of 68 years and 53% female. A significant increase was found in mean AF admissions over the Monday to Thursday period (3.09 vs 2.47 admissions/day [adm/d], P = 0.017) and entire week (2.48 vs 2.09 adm/d, P = 0.025) following the DST spring transition compared to the yearly mean. When separated by gender, women exhibited an increase in AF admissions following the DST spring transition (1.78 vs 1.28 adm/d for Monday to Thursday period, P = 0.036 and 1.38 vs 1.11 adm/d for entire week, P = 0.050) while a non-significant increase was seen in men. No significant differences were found following the autumn transition for the entire cohort or when separated by gender. CONCLUSION: An increase in AF hospital admissions was found following the DST springtime transition. When separated by gender, this finding persisted only among women. This finding adds to evidence of negative health effects associated with DST transitions and factors that contribute to AF episodes. SN - 1878-5506 UR - https://www.unboundmedicine.com/medline/citation/32088351/Changes_in_atrial_fibrillation_admissions_following_daylight_saving_time_transitions_ DB - PRIME DP - Unbound Medicine ER -