+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

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



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



Journal of the American Heart Association 7(15)



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. 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 (Ptrend=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. 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.

(PDF emailed within 0-6 h: $19.90)

Accession: 061206817

Download citation: RISBibTeXText

PMID: 30030215

DOI: 10.1161/JAHA.118.009024


Related references

Emergency Department, Hospital Inpatient, and Mortality Burden of Atrial Fibrillation in the United States, 2006 to 2014. American Journal of Cardiology 120(11): 1966-1973, 2017

Incidence, admission rates, and economic burden of pediatric emergency department visits for urinary tract infection: data from the nationwide emergency department sample, 2006 to 2011. Journal of Pediatric Urology 11(5): 246.E1-8, 2016

Trends in Alcohol-Related Emergency Department Visits in the United States: Results from the Nationwide Emergency Department Sample, 2006 to 2014. Alcoholism, Clinical and Experimental Research 42(2): 352-359, 2018

Incidence, Admission Rates and Economic Burden of Adult Emergency Visits for Chronic Pancreatitis: Data from National Emergency Department Sample. Gastroenterology 152(5): S679-S680, 2017

Incidence, Admission Rates, and Economic Burden of Adult Emergency Visits for Chronic Pancreatitis: Data From the National Emergency Department Sample, 2006 to 2012. Journal of Clinical Gastroenterology 2018, 2018

Incidence, Admission Rates and Economic Burden of Adult Emergency Visits for Ulcerative Colitis: Data from the National Emergency Department Sample, 2006 and 2012. Gastroenterology 152(5): S980-S981, 2017

Characteristics and Trends of Emergency Department Visits in the United States (2010-2014). Journal of Emergency Medicine 2019, 2019

Incidence, Admission Rates, and Predictors, and Economic Burden of Adult Emergency Visits for Acute Pancreatitis: Data From the National Emergency Department Sample, 2006 to 2012. Journal of Clinical Gastroenterology 2018, 2018

Incidence, Admission Rates and Economic Burden of Adult Emergency Visits for Gastric and Duodenal Ulcers: Data From the National Emergency Department Sample, 2006 and 2012. Gastroenterology 152(5): S478-S479, 2017

Trends and Related Factors of Cannabis-Associated Emergency Department Visits in the United States: 2006-2014. Journal of Addiction Medicine 2018, 2018

Trends in emergency department visits attributable to acetaminophen overdoses in the United States: 1993-2007. Pharmacoepidemiology and Drug Safety 20(8): 810-818, 2011

Recent trends in dental emergency department visits in the United States:1997/1998 to 2007/2008. Journal of Public Health Dentistry 72(3): 216-220, 2013

Economic Burden Of Emergency Department And Outpatient/Ambulatory Visits Associated With Hypoglycemia In The United States From 2005-2009. Value in Health 16(3): A171-A172, 2013

The burden of hospitalizations and emergency department visits with hereditary angioedema and angioedema in the United States, 2007. Allergy and Asthma Proceedings 31(6): 511-519, 2011

Dental visits and associated emergency department-charges in the United States: Nationwide Emergency Department Sample, 2014. Journal of the American Dental Association 150(4): 305-312.E1, 2019