Changing trends of hospital utilization in patients after their first episode of atrial fibrillation.

The American Journal of Cardiology
Yoko MiyasakaTeresa S M Tsang

Abstract

A marked increase in hospitalization for patients with atrial fibrillation (AF) has previously been noted. Whether this increase is related to a change in the prevalence of AF or a change in the pattern of practice with respect to the management of AF remains unclear. To determine the trends in hospital utilization after first AF in a community-based setting (Olmsted County, Minnesota), residents diagnosed with first AF from 1980 to 2000 were identified and followed until 2004. The primary outcome of interest was hospital admission for cardiovascular reasons. Of a total of 4,498 subjects (73 +/- 14 years old, 51% men), 2,503 (56%) were admitted to the hospital for cardiovascular causes >or=1 time during a mean follow-up of 5.5 +/- 5.0 years. Risk of first hospitalization was greatest during the first year of AF (cumulative incidence 31%, 95% confidence interval [CI] 30 to 32). First hospitalization was strongly related to age (p <0.0001) but not to sex (p = 0.38). From 1980 to 2000, the age-and sex-adjusted rate of first hospitalization increased, on average, by 2.5% a year (95% CI 1.8 to 3.2, p <0.0001), even after multivariable adjustment for co-morbidities. When we excluded all hospital admissions for the purposes of AF mana...Continue Reading

References

Dec 23, 1971·The New England Journal of Medicine·P A McKeeW B Kannel
Feb 24, 1998·Archives of Internal Medicine·P A WolfR B D'Agostino
Mar 14, 2003·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·S LévyUNKNOWN Working Group on Arrhythmias, Working Group on Cardiac Pacing of the European Society of Cardiology, North American Society
Oct 22, 2003·Epidemiology·Jens FribergGorm B Jensen

❮ Previous
Next ❯

Citations

Sep 22, 2009·Advances in Therapy·Michael H KimDavid Battleman
Feb 28, 2013·PharmacoEconomics·Bernd BrüggenjürgenStefan N Willich
Apr 29, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Carina Blomstrom LundqvistPaulus Kirchhof
May 18, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Christian Torp-PedersenUNKNOWN ATHENA Investigators
Jan 18, 2013·ClinicoEconomics and Outcomes Research : CEOR·Matthew R ReynoldsPeter Lindgren
Sep 24, 2013·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Caleb FergusonPatricia M Davidson
Mar 31, 2009·Current Medical Research and Opinion·M H KimD Battleman
Apr 16, 2009·Current Medical Research and Opinion·Chee W Khoo, Gregory Y H Lip
Feb 13, 2013·The American Journal of Emergency Medicine·Alberto ContiGian Franco Gensini
Sep 18, 2012·The American Journal of Geriatric Pharmacotherapy·Shih-Yin ChenLuke Boulanger
Jul 17, 2012·The American Journal of Emergency Medicine·Alberto ContiGian Franco Gensini
Mar 23, 2011·Pharmacology & Therapeutics·Jérôme ThireauSylvain Richard
May 15, 2013·Journal of Thrombosis and Haemostasis : JTH·C B ChristiansenJ B Olesen
Oct 12, 2010·The American Journal of Medicine·Kim A EagleDavid A Garcia
Oct 12, 2011·International Journal of Cardiology·Alberto ContiGian Franco Gensini
Aug 27, 2013·The American Journal of Cardiology·Tyler W BarrettJeffrey J Goldberger
Apr 10, 2016·Journal of Cardiovascular Electrophysiology·Chrishan J NalliahJonathan M Kalman
Apr 2, 2015·Circulation. Cardiovascular Quality and Outcomes·Nancy M Allen LaPointeSana M Al-Khatib
May 5, 2011·Circulation. Cardiovascular Quality and Outcomes·Michael H KimKathy L Schulman
Nov 2, 2014·Journal of the American Heart Association·Lindsay G S BengtsonAlvaro Alonso
Feb 23, 2012·Circulation·Andrew E Darby, John P Dimarco
May 7, 2010·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Cynthia A Sanoski
Sep 20, 2019·Journal of the American Heart Association·Byomesh TripathiAbhishek Deshmukh
Nov 28, 2012·American Journal of Therapeutics·Alpesh N AminJay Lin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.