Key result
New-onset AF at stroke presentation linked to ~7% higher inpatient care costs.
Why the study?
Stroke is a costly disorder frequently caused by AF, motivating an evaluation of stroke hospitalization costs and the occurrence of first AF diagnoses at the time of stroke.
Observational (n=164)
No
Stroke hospitalization costs are high and appear to be higher among patients whose atrial fibrillation is first diagnosed at the time of stroke.
Answers are grounded in this paper and cite their sources.
First AF diagnosis at stroke was associated with modestly higher costs; leaves open whether earlier detection reduces stroke hospitalization burden.
Stroke is a major cause of morbidity in industrialized countries, representing 8% of total deaths across Europe in 2017. It is also a very costly disorder, frequently caused by atrial fibrillation. We aimed to calculate the cost of stroke hospitalization in 2018 in Poznań (Poland). We also intended to present patients with the first AF diagnosis at the time of stroke. The study was conducted from January 2019 to July 2020. Data were obtained from hospital records and from the hospital accounting department. Out of 164 patients included in the study, 41 had AF and in 18 cases AF was first diagnosed at the time of stroke. The cost of hospitalization in Poznań was EUR 139,257.21 (x¯= EUR 849.13). Among those with concomitant AF, the general cost of inpatient care was EUR 33,859.18 (x¯= EUR 825.83). Considering those who had AF first diagnosed during hospitalization the cost was EUR 16,248.97 (x¯= EUR 906.24). Stroke is associated with high costs of inpatient care, which turned out to be higher among those with AF first diagnosed at the time of stroke. The number of patients who used oral anticoagulants at the time of admission was relatively low. The most frequently used NOAC was dabigatran.
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Zaprutko et al. (2021) conducted an observational in Stroke and atrial fibrillation (n=164). Atrial fibrillation first diagnosed at the time of stroke vs. Overall stroke cohort / concomitant AF cohort was evaluated on Mean cost of stroke inpatient care per patient (EUR). First diagnosis of atrial fibrillation at the time of stroke occurred in 10.98% of patients and resulted in higher mean inpatient costs than the overall stroke cohort.
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