Burden of arrythmias in transgender patients hospitalized for gender-affirming surgeries

Abstract

Background: We sought to describe the burden of arrhythmias and their impact on in-hospital outcomes in transgender patients who underwent gender re-assignment surgery. Methods: The study utilized data from the National Inpatient Sample from January 2012 to September 2015. Results: 16 555 adult transgender patients were included in this study. A total of 610 adults developed arrhythmia out of which atrial fibrillation (N = 475, 2.87%) was the most frequent arrhythmia. In-hospital mortality increased substantially with arrhythmias. Conclusions: New-onset arrythmias, while infrequent in the inpatient setting is associated with significantly higher in-hospital mortality and resource utilization.