Cargando…

Emergency Department Visits for Atrial Fibrillation in the United States: Trends in Admission Rates and Economic Burden From 2007 to 2014

BACKGROUND: Atrial fibrillation (AF) is an increasingly prevalent public health problem and one of the most common causes of emergency department (ED) visits. We aimed to investigate the trends in ED visits and hospital admissions for AF. METHODS AND RESULTS: This is a repeated cross‐sectional analy...

Descripción completa

Detalles Bibliográficos
Autores principales: Rozen, Guy, Hosseini, Seyed Mohammadreza, Kaadan, M. Ihsan, Biton, Yitschak, Heist, E. Kevin, Vangel, Mark, Mansour, Moussa C., Ruskin, Jeremy N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201465/
https://www.ncbi.nlm.nih.gov/pubmed/30030215
http://dx.doi.org/10.1161/JAHA.118.009024
_version_ 1783365506830434304
author Rozen, Guy
Hosseini, Seyed Mohammadreza
Kaadan, M. Ihsan
Biton, Yitschak
Heist, E. Kevin
Vangel, Mark
Mansour, Moussa C.
Ruskin, Jeremy N.
author_facet Rozen, Guy
Hosseini, Seyed Mohammadreza
Kaadan, M. Ihsan
Biton, Yitschak
Heist, E. Kevin
Vangel, Mark
Mansour, Moussa C.
Ruskin, Jeremy N.
author_sort Rozen, Guy
collection PubMed
description BACKGROUND: Atrial fibrillation (AF) is an increasingly prevalent public health problem and one of the most common causes of emergency department (ED) visits. We aimed to investigate the trends in ED visits and hospital admissions for AF. METHODS AND RESULTS: This is a repeated cross‐sectional analysis of ED visit‐level data from the Nationwide Emergency Department Sample for 2007 to 2014. We identified adults who visited EDs in the United States, with a principal diagnosis of AF. A sample of 864 759 ED visits for AF, representing a weighted total of 3 886 520 ED visits, were analyzed. The annual ED visits for AF increased by 30.7% from 411 406 in 2007 (95% confidence interval, 389 819–432 993) to 537 801 (95% confidence interval, 506 747–568 855) in 2014. Patient demographics remained consistent, with an average age of 69 to 70 years and slight female predominance (51%–53%) throughout the study period. Hospital admission rates were stable at ≈70% between 2007 and 2010, after which they gradually declined to 62% in 2014 (P (trend)=0.017). Despite the decline in hospital admission rates, AF hospitalizations increased from 288 225 in 2007 to 333 570 in 2014 because of the increase in total annual ED visits during the study. The adjusted annual charges for admitted AF patients increased by 37% from $7.39 billion in 2007 to $10.1 billion in 2014. CONCLUSIONS: Annual ED visits and hospital admissions for AF increased significantly between 2007 and 2014, despite a reduction in admission rates. These data emphasize the need for widespread implementation of effective strategies aimed at improving the management of patients with AF to reduce hospital admissions and the economic burden of AF.
format Online
Article
Text
id pubmed-6201465
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-62014652018-10-31 Emergency Department Visits for Atrial Fibrillation in the United States: Trends in Admission Rates and Economic Burden From 2007 to 2014 Rozen, Guy Hosseini, Seyed Mohammadreza Kaadan, M. Ihsan Biton, Yitschak Heist, E. Kevin Vangel, Mark Mansour, Moussa C. Ruskin, Jeremy N. J Am Heart Assoc Original Research BACKGROUND: Atrial fibrillation (AF) is an increasingly prevalent public health problem and one of the most common causes of emergency department (ED) visits. We aimed to investigate the trends in ED visits and hospital admissions for AF. METHODS AND RESULTS: This is a repeated cross‐sectional analysis of ED visit‐level data from the Nationwide Emergency Department Sample for 2007 to 2014. We identified adults who visited EDs in the United States, with a principal diagnosis of AF. A sample of 864 759 ED visits for AF, representing a weighted total of 3 886 520 ED visits, were analyzed. The annual ED visits for AF increased by 30.7% from 411 406 in 2007 (95% confidence interval, 389 819–432 993) to 537 801 (95% confidence interval, 506 747–568 855) in 2014. Patient demographics remained consistent, with an average age of 69 to 70 years and slight female predominance (51%–53%) throughout the study period. Hospital admission rates were stable at ≈70% between 2007 and 2010, after which they gradually declined to 62% in 2014 (P (trend)=0.017). Despite the decline in hospital admission rates, AF hospitalizations increased from 288 225 in 2007 to 333 570 in 2014 because of the increase in total annual ED visits during the study. The adjusted annual charges for admitted AF patients increased by 37% from $7.39 billion in 2007 to $10.1 billion in 2014. CONCLUSIONS: Annual ED visits and hospital admissions for AF increased significantly between 2007 and 2014, despite a reduction in admission rates. These data emphasize the need for widespread implementation of effective strategies aimed at improving the management of patients with AF to reduce hospital admissions and the economic burden of AF. John Wiley and Sons Inc. 2018-07-20 /pmc/articles/PMC6201465/ /pubmed/30030215 http://dx.doi.org/10.1161/JAHA.118.009024 Text en © 2018 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Research
Rozen, Guy
Hosseini, Seyed Mohammadreza
Kaadan, M. Ihsan
Biton, Yitschak
Heist, E. Kevin
Vangel, Mark
Mansour, Moussa C.
Ruskin, Jeremy N.
Emergency Department Visits for Atrial Fibrillation in the United States: Trends in Admission Rates and Economic Burden From 2007 to 2014
title Emergency Department Visits for Atrial Fibrillation in the United States: Trends in Admission Rates and Economic Burden From 2007 to 2014
title_full Emergency Department Visits for Atrial Fibrillation in the United States: Trends in Admission Rates and Economic Burden From 2007 to 2014
title_fullStr Emergency Department Visits for Atrial Fibrillation in the United States: Trends in Admission Rates and Economic Burden From 2007 to 2014
title_full_unstemmed Emergency Department Visits for Atrial Fibrillation in the United States: Trends in Admission Rates and Economic Burden From 2007 to 2014
title_short Emergency Department Visits for Atrial Fibrillation in the United States: Trends in Admission Rates and Economic Burden From 2007 to 2014
title_sort emergency department visits for atrial fibrillation in the united states: trends in admission rates and economic burden from 2007 to 2014
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201465/
https://www.ncbi.nlm.nih.gov/pubmed/30030215
http://dx.doi.org/10.1161/JAHA.118.009024
work_keys_str_mv AT rozenguy emergencydepartmentvisitsforatrialfibrillationintheunitedstatestrendsinadmissionratesandeconomicburdenfrom2007to2014
AT hosseiniseyedmohammadreza emergencydepartmentvisitsforatrialfibrillationintheunitedstatestrendsinadmissionratesandeconomicburdenfrom2007to2014
AT kaadanmihsan emergencydepartmentvisitsforatrialfibrillationintheunitedstatestrendsinadmissionratesandeconomicburdenfrom2007to2014
AT bitonyitschak emergencydepartmentvisitsforatrialfibrillationintheunitedstatestrendsinadmissionratesandeconomicburdenfrom2007to2014
AT heistekevin emergencydepartmentvisitsforatrialfibrillationintheunitedstatestrendsinadmissionratesandeconomicburdenfrom2007to2014
AT vangelmark emergencydepartmentvisitsforatrialfibrillationintheunitedstatestrendsinadmissionratesandeconomicburdenfrom2007to2014
AT mansourmoussac emergencydepartmentvisitsforatrialfibrillationintheunitedstatestrendsinadmissionratesandeconomicburdenfrom2007to2014
AT ruskinjeremyn emergencydepartmentvisitsforatrialfibrillationintheunitedstatestrendsinadmissionratesandeconomicburdenfrom2007to2014