Utility of the social vulnerability index to risk stratify atrial fibrillation mortality outcomes

Ramzi Ibrahim; Soumiya Ravi; Adam Habib; Justin Z Lee

doi:10.1002/joa3.12871

Utility of the social vulnerability index to risk stratify atrial fibrillation mortality outcomes

J Arrhythm. 2023 May 24;39(4):669-671. doi: 10.1002/joa3.12871. eCollection 2023 Aug.

Authors

Ramzi Ibrahim¹, Soumiya Ravi¹, Adam Habib¹, Justin Z Lee²

Affiliations

¹ Department of Medicine University of Arizona - Banner University Medical Center Tucson Arizona USA.
² Department of Cardiovascular Medicine Cleveland Clinic, Cleveland Cleveland Ohio USA.

Abstract

Background: Multiple methods of quantifying social determinants of health exist, such as the social vulnerability index (SVI). We assess the impact of the SVI on atrial fibrillation (AF)-related cardiovascular disease mortality.

Methods: CDC databases were used to obtain mortality and SVI information. Age-adjusted mortality rates (AAMR) were compared among all US counties, aggregated by SVI quartiles.

Results: AAMR was not increased in counties within the highest SVI quartile, consistent across gender and geographic subgroups.

Conclusions: Increased SVI is a poor marker to predict mortality outcomes associated with AF.

Keywords: atrial; fibrillation; mortality; population; social.