Contemporary trends of hospitalization for atrial fibrillation in the United States, 2000 through 2010: implications for healthcare planning. 

 -  2014 
<br/><br/>Available online from MWHC library: 1950 - present, Available in print through MWHC library: 1999 - 2006 
<br/><br/> BACKGROUND: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia. The associated morbidity and mortality make AF a major public health burden. Hospitalizations account for the majority of the economic cost burden associated with AF. The main objective of this study is to examine the trends of AF-related hospitalizations in the United States and to compare patient characteristics, outcomes, and comorbid diagnoses.  CONCLUSIONS: Hospitalization rates for AF have increased exponentially among US adults from 2000 to 2010. The proportion of comorbid chronic diseases has also increased significantly. The last decade has witnessed an overall decline in hospital mortality; however, the hospitalization cost has significantly increased.  2014 American Heart Association, Inc.  METHODS AND RESULTS: With the use of the Nationwide Inpatient Sample from 2000 through 2010, we identified AF-related hospitalizations using International Classification of Diseases, 9th Revision, Clinical Modification code 427.31 as the principal discharge diagnosis. Overall AF hospitalizations increased by 23% from 2000 to 2010, particularly in patients >65 years of age. The most frequent coexisting conditions were hypertension (60.0%), diabetes mellitus (21.5%), and chronic pulmonary disease (20.0%). Overall in-hospital mortality was 1%. The mortality rate was highest in the group of patients >80 years of age (1.9%) and in the group of patients with concomitant heart failure (8.2%). In-hospital mortality rate decreased significantly from 1.2% in 2000 to 0.9% in 2010 (29.2% decrease; P<0.001). Although there was no significant 140822 in mean length of stay, mean cost of AF hospitalization increased significantly from  
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>0009-7322 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Atrial Fibrillation/mo [Mortality]<br/>*Atrial Fibrillation/th [Therapy]<br/>*Health Care Costs<br/>*Hospitalization/td [Trends]<br/>Adolescent<br/>Adult<br/>Aged<br/>Aged, 80 and over<br/>Atrial Fibrillation/ec [Economics]<br/>Comorbidity<br/>Cross-Sectional Studies<br/>Female<br/>Health Planning<br/>Heart Failure/mo [Mortality]<br/>Hospital Mortality/td [Trends]<br/>Hospitalization/ec [Economics]<br/>Hospitalization/sn [Statistics & Numerical Data]<br/>Humans<br/>Length of Stay/ec [Economics]<br/>Length of Stay/sn [Statistics & Numerical Data]<br/>Length of Stay/td [Trends]<br/>Male<br/>Middle Aged<br/>United States/ep [Epidemiology]<br/>Young Adult
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Washington Hospital Center
<br/><br/><label>Index Terms--Occupation: </label><br/>Medicine/General Internal Medicine
<br/><br/><label>Index Terms--Function: </label><br/>Journal Article