Evidence map›Paper›PMID 39968777›Full record

ArticleJournal of the American Heart Association2025

Atrial Fibrillation Treatment Pathway in the Emergency Department Reduces Median 30-Day Health Service Charges.

Rafat Mahmood, Tiffany Armbruster, Wanting Jin, Allysha Choudhury, Lindsey Rosman, Anthony J Mazzella, Quefeng Li, Kevin Biese, Sally C Stearns, Anil K Gehi

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Streamlining Care: Effective Approaches to Decreasing Observation Status Length of Stay in Community Medical Centers.Journal for healthcare quality : official publication of the National Association for Healthcare Quality
    Article
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

10 authors.

Rafat MahmoodDivision of Cardiology, Department of Medicine University of North Carolina at Chapel Hill Chapel Hill NC USA.ORCID 0009-0007-6951-4834
Tiffany ArmbrusterDivision of Cardiology, Department of Medicine University of North Carolina at Chapel Hill Chapel Hill NC USA.ORCID 0009-0003-8644-6045
Wanting JinDepartment of Biostatistics University of North Carolina at Chapel Hill Chapel Hill NC USA.ORCID 0000-0002-3258-8828
Allysha ChoudhuryDepartment of Maternal and Child Health University of North Carolina at Chapel Hill Chapel Hill NC USA.ORCID 0000-0002-6880-3403
Lindsey RosmanDivision of Cardiology, Department of Medicine University of North Carolina at Chapel Hill Chapel Hill NC USA.ORCID 0000-0002-0944-6864
Anthony J MazzellaDivision of Cardiology, Department of Medicine University of North Carolina at Chapel Hill Chapel Hill NC USA.ORCID 0000-0003-2036-9254
Quefeng LiDepartment of Biostatistics University of North Carolina at Chapel Hill Chapel Hill NC USA.ORCID 0000-0003-0707-2763
Kevin BieseDepartment of Emergency Medicine University of North Carolina at Chapel Hill Chapel Hill NC USA.
Sally C StearnsDepartment of Health Policy and Management University of North Carolina at Chapel Hill Chapel Hill NC USA.ORCID 0000-0002-1129-0838
Anil K GehiDivision of Cardiology, Department of Medicine University of North Carolina at Chapel Hill Chapel Hill NC USA.ORCID 0000-0002-6724-5294

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe economic burden of atrial fibrillation (AF) continues to increase. AF treatment pathways have been shown to reduce avoidable admissions, but the effects on health care costs are not understood. This study sought to assess the impact of an AF treatment pathway on health service charges and emergency department (ED) discharge rates.

methodsAn AF treatment pathway was implemented at 7 hospital EDs in North Carolina between 2017 and 2020. Thirty-day health service charges were calculated for ED visits, hospitalizations, and outpatient clinic appointments. A quasi-experimental design was used to assess changes in health service charges and ED discharge rates following implementation of the AF treatment pathway. Adjusted quantile and negative binomial regressions were used to analyze changes in median 30-day health service charges and discharge rates from the ED, respectively.

resultsAmong 12 504 patients that met eligibility for study inclusion (preperiod: n=3893; postperiod: n=8611), implementation of the AF treatment pathway significantly reduced 30-day health service charges (preperiod: $11 922; postperiod: $9219;

conclusionsThe implementation of an AF treatment pathway in the ED was associated with a decrease in median 30-day health service charges and an increase in ED discharge rate for patients presenting with AF.

Indexed as

Atrial FibrillationCritical PathwaysEmergency Service, HospitalHospital ChargesAgedFemaleHumansMaleMiddle AgedNorth CarolinaPatient DischargeTime Factorsatrial fibrillationcost analysisemergency departmenttransitions pathway

Identifiers

PMID39968777
PMCPMC12132606

What OpenQuestion holds

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Registered trials

None linked

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.