Key result
The overall prevalence of atrial fibrillation in a general Swedish population was 3.0%, rising to 21.9% in patients aged 85 years and older, with the National Patient Register identifying 93.2% of cases.
Cross-Sectional (n=75,945)
Yes
The study demonstrates a high prevalence of AF in the general population, particularly among the elderly, and validates the high reliability of the National Patient Register for identifying AF cases.
AF prevalence rises sharply with age; supports register-based AF research in Nordic settings but leaves generalizability open.
BACKGROUND: The purpose of this study was to determine the prevalence of atrial fibrillation (AF) in the general population and to validate an administrative diagnosis register, ie, the National Patient Register (NPR), and an electrocardiography (ECG) database in estimating disease prevalence. METHODS: The study was conducted in a well defined region in northern Sweden (population n=75,945) which consists of one hospital and eleven primary health care centers. Subjects with AF were identified by searching the combined inpatient and outpatient International Classification of Diseases (ICD)-based NPR (ICD-10 code I48) and an ECG database with computer-interpreted AF from January 1, 2004 to December 31, 2010. All identified cases with AF were validated. RESULTS: AF was confirmed in 2,274 patients. The overall prevalence was 3.0% (3.4% in men and 2.6% in women). AF prevalence rose steadily with age, and was 16.8% in patients aged 75 years and older and 21.9% in patients 85 years and older. Of all patients with validated AF, the NPR identified 93.2%. The ECG database identified an additional 6.8%, of which 81% were over 70 years of age. According to the NPR, the proportion of false positives and false negatives was 3.5% and 6.8%, respectively. The corresponding figure for the ECG database was 11.3% and 9.2%, respectively. CONCLUSION: Our study shows a high prevalence of AF, especially among the elderly. Searching the ECG database enhanced the detection of AF. The reliability of the NPR was high, with a relatively low proportion of false positives and negatives.
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Johansson et al. (2013) conducted a cross-sectional in Atrial fibrillation (n=75,945). Administrative diagnosis register (NPR) and ECG database was evaluated on Prevalence of atrial fibrillation. The overall prevalence of atrial fibrillation in a general Swedish population was 3.0%, rising to 21.9% in patients aged 85 years and older, with the National Patient Register identifying 93.2% of cases.
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