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ORIGINAL RESEARCH article

Front. Med.
Sec. Intensive Care Medicine and Anesthesiology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1408249
This article is part of the Research Topic Precision Medicine in the Acute Care of Stroke View all 6 articles

The One-Year Incidence of Stroke in Patients with Atrial Fibrillation in Jordan and its Associated Factors

Provisionally accepted
Tariq N. Al-Shatanawi Tariq N. Al-Shatanawi 1*Osama Alkouri Osama Alkouri 2Yousef Khader Yousef Khader 3HUSAM ALSALAMAT HUSAM ALSALAMAT 1*Omar A. Qaladi Omar A. Qaladi 4Mohamad Jarrah Mohamad Jarrah 5Anas Ababneh Anas Ababneh 3Raed Alawaisheh Raed Alawaisheh 6Taqialdeen Zamil Taqialdeen Zamil 7AYMAN HAMMOUDEH AYMAN HAMMOUDEH 8
  • 1 Department of Public Health and Community Medicine, Faculty of Medicine, Al-Balqa Applied University, Al-Salt, Balqa, Jordan
  • 2 Faculty of Nursing, Yarmouk University, Irbid, Jordan
  • 3 Department of Public Health and Community Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Irbid, Jordan
  • 4 College of Nursing, King Saud University, Riyadh, Saudi Arabia
  • 5 Department of Internal Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Irbid, Jordan
  • 6 Specialty Hospital, Jordan, Amman, Amman, Jordan
  • 7 California State University, Los Angeles, Los Angeles, California, United States
  • 8 Istishari Hospital, Amman, Amman, Jordan

The final, formatted version of the article will be published soon.

    Background: An elevated risk of stroke is linked to atrial fibrillation (AF). Effective care and prevention measures for individuals with AF require an understanding of the factors impacting the incidence of stroke in this population. Evidence regarding the incidence of stroke among patients with AF is insufficient in Jordan. This study aimed to determine the incidence of stroke and its associated factors among patients with AF in Jordan. Methods: The Jordan Atrial Fibrillation Registry JoFib was used to identify a total of 2020 AF patients meeting the study inclusion and exclusion criteria. Demographics, clinical characteristics, and the CHA2DS2-VASc score-based evaluation of stroke risk were extracted from the registry. Results: This study encompassed 2020 participants diagnosed with AF, with 925 (45.8%) being men and 1095 (54.2%) women. The one-year stroke incidence among the 2020 AF patients was 3.4%. Notably, stroke incidence significantly increased with age (p = 0.04) and was associated with the history of stroke (7.4% vs. 2.7%), hypertension (3.9% vs. 1.9%), and diabetes (5.1% vs. 2.1%). In the multivariate analysis, diabetes (OR = 2.6, 95% CI: 1.5 - 4.4, p = 0.001) and history of stroke (OR = 2.6, 95% CI: 1.5 - 4.6, p = 0.001) were significantly associated with stroke incidence. Conclusion: This study emphasizes Jordan's high stroke rate among AF patients. Diabetes and prior stroke history are associated with increased odds of stroke, like all stroke patients. These results highlight the necessity for specialized management strategies among AF patients and highlight the significance of thorough risk assessment and focused interventions to reduce stroke risk in AF patients.

    Keywords: Atrial Fibrillation, Metabolic abnormalities, stroke risk, diabetes, Jordan

    Received: 27 Mar 2024; Accepted: 10 Jul 2024.

    Copyright: © 2024 Al-Shatanawi, Alkouri, Khader, ALSALAMAT, Qaladi, Jarrah, Ababneh, Alawaisheh, Zamil and HAMMOUDEH. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Tariq N. Al-Shatanawi, Department of Public Health and Community Medicine, Faculty of Medicine, Al-Balqa Applied University, Al-Salt, Balqa, Jordan
    HUSAM ALSALAMAT, Department of Public Health and Community Medicine, Faculty of Medicine, Al-Balqa Applied University, Al-Salt, Balqa, Jordan

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.