title: Trends in hospitalization for atrial fibrillation: epidemiology, cost, and implications for the future.
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.
authors.affiliation: Cardiovascular Division, Staten Island University Hospital, Staten Island, NY. Electronic address: abilalsh@gmail.com.
authors.forename: Azfar
authors.initials: A
authors.lastname: Sheikh
authors.affiliation: Cardiovascular Division, Staten Island University Hospital, Staten Island, NY. Electronic address: dr.nilesh.j.patel@gmail.com.
authors.forename: Nileshkumar J
authors.initials: NJ
authors.lastname: Patel
authors.affiliation: Cardiovascular Division, Staten Island University Hospital, Staten Island, NY.
authors.forename: Nikhil
authors.initials: N
authors.lastname: Nalluri
authors.affiliation: Cardiovascular Division, Saint Peters University Hospital, New Brunswick, NJ.
authors.forename: Kanishk
authors.initials: K
authors.lastname: Agnihotri
authors.affiliation: Cardiovascular Division, Staten Island University Hospital, Staten Island, NY.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Spagnola
authors.affiliation: Cardiovascular Division, Lankenau Institute of Medical Research, Wynnewood, PA.
authors.forename: Aashay
authors.initials: A
authors.lastname: Patel
authors.affiliation: Cardiovascular Division, Staten Island University Hospital, Staten Island, NY.
authors.forename: Deepak
authors.initials: D
authors.lastname: Asti
authors.affiliation: Cardiovascular Division, Staten Island University Hospital, Staten Island, NY.
authors.forename: Ritesh
authors.initials: R
authors.lastname: Kanotra
authors.affiliation: Cardiovascular Division, Staten Island University Hospital, Staten Island, NY.
authors.forename: Hafiz
authors.initials: H
authors.lastname: Khan
authors.affiliation: Cardiovascular Division, New York Medical College, Valhalla, NY.
authors.forename: Chirag
authors.initials: C
authors.lastname: Savani
authors.affiliation: Cardiovascular Division, St. Lukes Roosevelt Hospital, New York, NY.
authors.forename: Shilpkumar
authors.initials: S
authors.lastname: Arora
authors.affiliation: Cardiovascular Division, Saint Peters University Hospital, New Brunswick, NJ.
authors.forename: Nilay
authors.initials: N
authors.lastname: Patel
authors.affiliation: Cardiovascular Division, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA.
authors.forename: Badal
authors.initials: B
authors.lastname: Thakkar
authors.affiliation: Cardiovascular Division, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Neil
authors.initials: N
authors.lastname: Patel
authors.affiliation: Cardiovascular Division, Staten Island University Hospital, Staten Island, NY.
authors.forename: Dhaval
authors.initials: D
authors.lastname: Pau
authors.affiliation: Cardiovascular Division, Yale School of Medicine, New Haven, CT.
authors.forename: Apurva O
authors.initials: AO
authors.lastname: Badheka
authors.affiliation: Cardiovascular Division, Mayo Clinic, Rochester, MN.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Deshmukh
authors.affiliation: Cardiovascular Division, Staten Island University Hospital, Staten Island, NY.
authors.forename: Marcin
authors.initials: M
authors.lastname: Kowalski
authors.affiliation: Cardiovascular Division, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Juan
authors.initials: J
authors.lastname: Viles-Gonzalez
authors.affiliation: Cardiovascular Division, University of Arkansas for Medical Sciences, Little Rock, AR.
authors.forename: Hakan
authors.initials: H
authors.lastname: Paydak
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000191:economics* / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy*; D003362:Cost-Benefit Analysis; D005260:Female; D005544:Forecasting; D017721:Hospital Costs / Q000639:trends; D006760:Hospitalization / Q000191:economics* / Q000639:trends; D006801:Humans; D015994:Incidence; D007902:Length of Stay / Q000191:economics; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010818:Practice Patterns, Physicians' / Q000191:economics* / Q000639:trends; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Atrial fibrillation; Cost analysis; Epidemiology; Future implications; Trends in hospitalization