Trends in hospitalization for atrial fibrillation: epidemiology, cost, and implications for the future

Prog Cardiovasc Dis. 2015 Sep-Oct;58(2):105-16. doi: 10.1016/j.pcad.2015.07.002. Epub 2015 Jul 8.

Abstract

Atrial fibrillation (AF) is the most prevalent arrhythmia worldwide and the most common arrhythmia leading to hospitalization. Due to a substantial increase in incidence and prevalence of AF over the past few decades, it attributes to an extensive economic and public health burden. The increasing number of hospitalizations, aging population, anticoagulation management, and increasing trend for disposition to a skilled facility are drivers of the increasing cost associated with AF. There has been significant progress in AF management with the release of new oral anticoagulants, use of left atrial catheter ablation, and novel techniques for left atrial appendage closure. In this article, we aim to review the trends in epidemiology, hospitalization, and cost of AF along with its future implications on public health.

Keywords: Atrial fibrillation; Cost analysis; Epidemiology; Future implications; Trends in hospitalization.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Atrial Fibrillation / diagnosis
  • Atrial Fibrillation / economics*
  • Atrial Fibrillation / epidemiology
  • Atrial Fibrillation / physiopathology
  • Atrial Fibrillation / therapy*
  • Cost-Benefit Analysis
  • Female
  • Forecasting
  • Hospital Costs* / trends
  • Hospitalization / economics*
  • Hospitalization / trends
  • Humans
  • Incidence
  • Length of Stay / economics
  • Male
  • Middle Aged
  • Odds Ratio
  • Practice Patterns, Physicians' / economics*
  • Practice Patterns, Physicians' / trends
  • Prevalence
  • Risk Factors
  • Sex Factors
  • Time Factors
  • Treatment Outcome
  • Young Adult