Evidence map›Paper›PMID 30030215›Full record

ArticleJournal of the American Heart Association2018

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

Guy Rozen, Seyed Mohammadreza Hosseini, M Ihsan Kaadan, Yitschak Biton, E Kevin Heist, Mark Vangel, Moussa C Mansour, Jeremy N Ruskin

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04476524 (Clinical and Economic Impact of an Organized Treatment Pathway on Atrial Fibrillation Patient Management From the Emergency Room), which is not on this map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
8.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT04476524 unknown statusnot on this mapstarted 2020, after this paper: background citation

Clinical and Economic Impact of an Organized Treatment Pathway on Atrial Fibrillation Patient Management From the Emergency Room

TypeobservationalSponsorKansas City Heart Rhythm Research FoundationRan2020 to 2021Enrolled200ConditionsCardiac Arrhythmia, Atrial FibrillationArmsQuality improvement
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Pooled it
  2. Reappraising the role of class Ic antiarrhythmics in atrial fibrillation.European journal of clinical pharmacology · 2022
    Pooled it
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  17. Atrial fibrillation in the Americas.Lancet regional health. Americas · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Guy RozenCardiovascular Institute, Baruch Padeh Medical Center, Poriya, Israel.
Seyed Mohammadreza HosseiniCardiac Arrhythmia Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
M Ihsan KaadanCardiac Arrhythmia Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Yitschak BitonCardiac Arrhythmia Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
E Kevin HeistCardiac Arrhythmia Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Mark VangelDepartment of Biostatistics, Massachusetts General Hospital, Boston, MA.
Moussa C MansourCardiac Arrhythmia Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Jeremy N RuskinCardiac Arrhythmia Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA jruskin@mgh.harvard.edu.
Massachusetts General Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial 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

resultsThis 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 (

conclusionsAnnual 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.

Indexed as

Cost of IllnessAgedAged, 80 and overAtrial FibrillationCross-Sectional StudiesEmergency Service, HospitalFemaleFollow-Up StudiesHospitalizationHumansIncidenceMaleMiddle AgedPrevalenceRetrospective StudiesTime Factorsatrial fibrillationeconomic burdenemergency department visitshospitalization

Identifiers

PMID30030215
PMCPMC6201465
OpenAlexW2884040064

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.