Table 3.
Association between Symptomatic Atrial Fibrillation and Rhythm versus Rate Control: Overall and Stratified Analysis by Age
| Overall Unadjusted OR (95% CI) (n=1,147) | Overall Adjusted OR (95% CI) (n=1,116) | 65–74 years Adjusted OR (95% CI) (n=579) | 75–84 years Adjusted OR (95% CI) (n=396) | ≥ 85 years Adjusted OR (95% CI) (n=141) | |
|---|---|---|---|---|---|
|
| |||||
| No AF symptom | Ref | Ref | Ref | Ref | Ref |
| AF symptom | 1.56 (1.20–2.03) | 1.55 (1.18–2.04) | 1.61 (1.10–2.35) | 1.62 (1.01–2.60) | 1.07 (0.44–2.60) |
| Sex | |||||
| Female | Ref | Ref | Ref | Ref | Ref |
| Male | 1.10 (0.87–1.39) | 1.12 (0.88–1.42) | 1.25 (0.88–2.35) | 1.32 (0.87–2.00) | 0.35 (0.16–0.79) |
| Race | |||||
| White | Ref | Ref | Ref | Ref | Ref |
| Non-White | 0.78 (0.56–1.08) | 0.81 (0.56–1.18) | 0.79 (0.47–1.33) | 0.56 (0.29–1.09) | 0.74 (0.17–3.12) |
| Education | |||||
| ≤ High School | Ref | Ref | Ref | Ref | Ref |
| Some College | 0.95 (0.68–1.31) | 0.87 (0.62–1.23) | 0.74 (0.44–1.24) | 0.90 (0.52–1.58) | 1.10 (0.39–3.07) |
| College grad | 1.01 (0.78–1.31) | 0.99 (0.74–1.32) | 0.80 (0.52–1.24) | 1.15 (0.70–1.88) | 1.26 (0.55–2.88) |
| Comorbidities | |||||
| 1–4 | Ref | Ref | Ref | Ref | Ref |
| 5–7 | 0.98 (0.75–1.28) | 1.07 (0.81–1.42) | 1.11 (0.74–1.65) | 1.17 (0.72–1.90) | 1.12 (0.45–2.75) |
| 8 or more | 1.45 (1.07–1.95) | 1.61 (1.17–2.22) | 1.63 (1.00–2.65) | 1.60 (0.91–2.80) | 2.15 (0.79–5.86) |
| Frailty | |||||
| Not frail | Ref | Ref | Ref | Ref | Ref |
| Pre-Frail | 0.91 (0.70–1.17) | 0.90 (0.69–1.19) | 0.93 (0.64–1.37) | 0.93 (0.58–1.50) | 1.50 (0.51–4.43) |
| Frail | 1.06 (0.73–1.54) | 1.00 (0.64–1.54) | 0.86 (0.46–1.63) | 1.13 (0.55–2.33) | 2.24 (0.53–9.51) |
| Cognition | |||||
| Not impaired | Ref | Ref | Ref | Ref | Ref |
| Impaired | 1.44 (1.13–1.83) | 1.41 (1.07–1.86) | 1.22 (0.77–1.92) | 1.22 (0.77–1.92) | 1.18 (0.55–2.53) |
| Social support | |||||
| Adequate | Ref | Ref | Ref | Ref | |
| Low | 1.11 (0.85–1.44) | 1.07 (0.81–1.41) | 1.23 (0.82–1.83) | 0.82 (0.51–1.31) | 1.20 (0.48–2.98) |
The Multivariable models overall and by age group, are adjusted for variables with clinical or statistical significance including sex, race, level of education, presence of one or more comorbidities, frailty, cognitive impairment, and social support.