ArticleJournal of the American Heart Association2014
Impact of atrial fibrillation on healthcare utilization in the community: the Atherosclerosis Risk in Communities study.
Article in Journal of the American Heart Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Contrast-induced nephropathy is associated with new-onset atrial fibrillation in acute coronary syndrome after cardiac catheterization: Systemic review and meta-analysis.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2019Pooled it
- Impact of atrioventricular node ablation and permanent pacing on clinical outcomes, quality of life, and health care utilization in patients with atrial fibrillation.Heart rhythm O2 · 2026Article
- Review
- The association between midlife neighbourhood walkability and Alzheimer's disease in women: a prospective nested case-control study.Age and ageing · 2026Article
- Sex differences in hospitalisation and healthcare utilisation for patients with atrial fibrillationInternational journal of cardiology. Heart & vasculature · 2025Article
- Atrial fibrillation in the Americas.Lancet regional health. Americas · 2025Review
- Trends in health care expenditures and incremental health care cost in adults with atrial fibrillation in the United States.Heart rhythm O2 · 2025Article
- Atrial flutter-related health care use and costs: An analysis of a nationally representative administrative claims database in the United States.Heart rhythm O2 · 2023Article
- Variation and clinical consequences of wait-times for atrial fibrillation ablation: population level study in Ontario, Canada.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 · 2023Observational
- Health care resource utilization and costs associated with atrial fibrillation and rural-urban disparities.Journal of managed care & specialty pharmacy · 2022Article
- Healthcare utilization and costs associated with a diagnosis of incident atrial fibrillation.Heart rhythm O2 · 2022Article
- Designing an Efficient and Quality-focused Integrated Atrial Fibrillation Care Center.The Journal of innovations in cardiac rhythm management · 2022Article
- Symptom Severity and Health-Related Quality of Life in Patients with Atrial Fibrillation: Findings from the Observational ARENA Study.Journal of clinical medicine · 2022Article
- Association of Wearable Device Use With Pulse Rate and Health Care Use in Adults With Atrial Fibrillation.JAMA network open · 2021Article
- Association of Multimorbidity with Cardiovascular Endpoints and Treatment Effectiveness in Patients 75 Years and Older with Atrial Fibrillation.The American journal of medicine · 2020Article
- Intensified ambulatory cardiology care: effects on mortality and hospitalisation-a comparative observational study.Scientific reports · 2020Observational
- Atrial fibrillation is highly prevalent yet undertreated in patients with biopsy-proven nonalcoholic steatohepatitis.Liver international : official journal of the International Association for the Study of the Liver · 2019Article
- Race, Sex, Age, and Regional Differences in the Association of Obstructive Sleep Apnea With Atrial Fibrillation: Reasons for Geographic and Racial Differences in Stroke Study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018Article
- Fall Risk and Outcomes Among Patients Hospitalized With Cardiovascular Disease in the Community.Circulation. Cardiovascular quality and outcomes · 2018Article
- Multimorbidity and the risk of hospitalization and death in atrial fibrillation: A population-based study.American heart journal · 2017Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundAtrial fibrillation (AF) is associated with increased risk of hospitalization. Little is known about the impact of AF on utilization of noninpatient health care or about sex or race differences in AF-related utilization. We examined rates of inpatient and outpatient utilization by AF status in the Atherosclerosis Risk in Communities study. METHODS AND
resultsParticipants with incident AF enrolled in fee-for-service Medicare for at least 12 continuous months between 1991 and 2009 (n=932) were matched on age, sex, race and field center with up to 3 participants without AF (n=2729). Healthcare utilization was ascertained from Medicare claims and classified by primary International Classification of Diseases, ninth revision code. The average annual numbers of days hospitalized were 13.2 (95% CI 11.6 to 15.0) and 2.8 (95% CI 2.5 to 3.1) for those with and without AF, respectively. The corresponding numbers of annual outpatient claims were 53.3 (95% CI 50.5 to 56.3) and 22.9 (95% CI 22.1 to 23.8) for those with and without AF, respectively. Most utilization among AF patients was attributable to non-AF conditions. The adjusted rate ratio for annual days hospitalized for other cardiovascular disease-related reasons was 4.58 (95% CI: 3.41 to 6.16) for those with AF versus those without AF. The association between AF and healthcare utilization was similar among men and women and among white and black participants.
conclusionsParticipants with AF had considerably greater healthcare utilization, and the difference in utilization for other cardiovascular disease-related reasons was substantial. In addition to rate or rhythm treatment, AF management should focus on the accompanying cardiovascular comorbidities.
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