000			04042nam a22006137a 4500
008			140822s20142014 xxu||||| |||| 00| 0 eng d
022			_a0009-7322
040			_aOvid MEDLINE(R)
099			_a24842943
245			_aContemporary trends of hospitalization for atrial fibrillation in the United States, 2000 through 2010: implications for healthcare planning.
251			_aCirculation. 129(23):2371-9, 2014 Jun 10.
252			_aCirculation. 129(23):2371-9, 2014 Jun 10.
253			_aCirculation
260			_c2014
260			_fFY2014
266			_d2014-08-22
501			_aAvailable online from MWHC library: 1950 - present, Available in print through MWHC library: 1999 - 2006
520			_aBACKGROUND: 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.
520			_aCONCLUSIONS: 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.
520			_aMETHODS 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 _6410 in 2001 to _8439 in 2010 (24.0% increase; P<0.001).
546			_aEnglish
650			_a*Atrial Fibrillation/mo [Mortality]
650			_a*Atrial Fibrillation/th [Therapy]
650			_a*Health Care Costs
650			_a*Hospitalization/td [Trends]
650			_aAdolescent
650			_aAdult
650			_aAged
650			_aAged, 80 and over
650			_aAtrial Fibrillation/ec [Economics]
650			_aComorbidity
650			_aCross-Sectional Studies
650			_aFemale
650			_aHealth Planning
650			_aHeart Failure/mo [Mortality]
650			_aHospital Mortality/td [Trends]
650			_aHospitalization/ec [Economics]
650			_aHospitalization/sn [Statistics & Numerical Data]
650			_aHumans
650			_aLength of Stay/ec [Economics]
650			_aLength of Stay/sn [Statistics & Numerical Data]
650			_aLength of Stay/td [Trends]
650			_aMale
650			_aMiddle Aged
650			_aUnited States/ep [Epidemiology]
650			_aYoung Adult
651			_aMedStar Washington Hospital Center
656			_aMedicine/General Internal Medicine
657			_aJournal Article
700			_aChothani, Ankit
790			_aArora S, Badheka AO, Chothani A, Deshmukh A, Kowalski M, Lafferty J, Mehta JL, Mehta K, Mitrani RD, Pant S, Parikh V, Patel N, Patel NJ, Paydak H, Rathod A, Savani GT, Shah N, Singh V, Viles-Gonzalez JF
856			_uhttp://dx.doi.org/10.1161/CIRCULATIONAHA.114.008201 _zhttp://dx.doi.org/10.1161/CIRCULATIONAHA.114.008201
942			_cART _dArticle
999			_c1163 _d1163