Key result
Among 49,574 patients with newly diagnosed atrial fibrillation, 99.5% had at least one outpatient visit, and hospital admissions occurred in 37.2% to 42.0% of patients depending on the region.
Why the study?
The management of AF impacts healthcare resource utilization, but global resource use among these patients had not been well quantified across different regions.
Cohort (n=49,574)
Yes
There is vast healthcare resource utilization among patients with newly diagnosed atrial fibrillation, with significant geographical differences likely driven by health service availability and differing models of care.
Substantial global HCRU in AF warrants attention; leaves open optimal strategies to minimize resource use.
The management of atrial fibrillation (AF), the most common sustained arrhythmia, impacts healthcare resource utilization (HCRU). This study aims to estimate global resource use in AF patients, using the GARFIELD-AF registry. A prospective cohort study was conducted to characterize HCRU in AF patients enrolled in sequential cohorts from 2012 to 2016 in 35 countries. Components of HCRU studied were hospital admissions, outpatient care visits, and diagnostic and interventional procedures occurring during follow-up. AF-related HCRU was reported as the percentage of patients demonstrating at least one event and was quantified as rate-per-patient-per-year (PPPY) over time. A total of 49,574 patients was analyzed, having an overall median follow-up of 719 days. Almost all patients (99.5%) had at least one outpatient care visit, while hospital admissions were the second most frequent medical contact, with similar proportions in North America (37.5%) and Europe (37.2%), and slightly higher in the other GARFIELD-AF countries (42.0%; namely Australia, Egypt, and South Africa). Asia and Latin America showed lower percentages of hospitalizations, outpatient care visits, and diagnostic and interventional procedures. Analyses of GARFIELD-AF highlighted the vast AF-related HCRU, underlying significant geographical differences in the type, quantity, and frequency of AF-related HCRU. These differences were likely attributable to health service availability and differing models of care.
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Mantovani et al. (2023) conducted a cohort in Atrial fibrillation (n=49,574). Newly diagnosed atrial fibrillation was evaluated on Healthcare resource utilization (hospital admissions, outpatient care visits, and diagnostic and interventional procedures). Among 49,574 patients with newly diagnosed atrial fibrillation, 99.5% had at least one outpatient visit, and hospital admissions occurred in 37.2% to 42.0% of patients depending on the region.
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