Arrhythmias & electrophysiology

Opioid prescription and risk of atrial fibrillation in younger veterans

Am Heart JPublished Retrospective cohort study

Main finding · Incident AFResult — go to the resultHazard ratio 1.47 95% CI 1.38–1.57

Authors' conclusion

Our findings suggest opioid prescription may be a modifiable risk factor for the development of AF.

Study context

Population
Post-9/11 veterans enrolled in the Veterans Health Administration (VHA)mean age 34 years, 13.24% female
Participants
609,763 veterans
Exposure
Prescribed opioids vs no opioid use
  • Opioidsn = 124,395
Outcome
Incident AF
Methodological detailstime-updated Cox regression, national
  • Time-updated Cox regression
  • National

Main finding

As reported in the abstract

Hazard ratio

1.47

95% CI 1.38–1.57

Opioidsvs No opioid use
HR 1.47 (95% CI 1.38–1.57)
Veterans diagnosed with atrial fibrillation (AF) (overall)
1,455 (0.24%)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Incident AF by opioid typeImmunomodulating opioidsvs No opioid useAdjusted1.40 (1.25–1.57)
Incident AF by opioid typeNonimmunomodulating opioidsvs No opioid useAdjusted1.49 (1.39–1.60)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Opioid prescription and risk of atrial fibrillation in younger veterans. Am Heart J. Published 9 November 2023. doi:10.1016/j.ahj.2023.11.001

Composed by AI from the published abstract and checked against it. How Briefs are made →

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