Arrhythmias & electrophysiology

Impact of Atrial Fibrillation Burden on Health Care Costs and Utilization

JACC Clin ElectrophysiolPublished Retrospective cohort study

Main finding · Incremental annualized cost per patientResult — go to the resultIncremental annualized increased cost 12,789 $ per patient (± $161,749)

Authors' conclusion

Presence of device-recognized AF was associated with increased health care cost. Among those with AF, patients with PeAF had the highest health care costs.

Study context

Population
Cardiac implantable electronic device (CIED) patients transmitting data ≥6 months postimplantation, Optum Clinformatics US claims database linked with Medtronic CareLink, 2015–20207,798 (36.5%) with atrial fibrillation (AF)
Participants
21,391 patients
Exposure
Device-recognized AF vs no AF
  • AFn = 7,798
Outcome
Incremental annualized per-patient health care cost (2020 US dollars) of device-recognized AF vs no AF
Methodological detailsclaims database linked with device database, adjusted for region, insurance type, CHA2DS2-VASc score and implantation year
  • Claims database linked with device database
  • Adjusted for region, insurance type, CHA2DS2-VASc score and implantation year

Main finding

Incremental annualized cost per patient

Incremental annualized increased cost

12,789 $ per patient (± $161,749)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Cost by AF type

Among those with AF, persistent atrial fibrillation (PeAF) associated with the highest cost, driven by increased inpatient and outpatient hospitalization encounters, HF hospitalizations and AF-specific interventions

Original publication

Impact of Atrial Fibrillation Burden on Health Care Costs and Utilization. JACC Clin Electrophysiol. Published 28 February 2024. doi:10.1016/j.jacep.2023.12.011

Composed by AI from the published abstract and checked against it. How Briefs are made →

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