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Incidence and prevalence of atrial fibrillation: an analysis based on 8.3 million patients

Europace (London, England), 2013-04, Vol.15 (4), p.486-493 [Peer Reviewed Journal]

ISSN: 1099-5129 ;EISSN: 1532-2092 ;DOI: 10.1093/europace/eus333 ;PMID: 23220354

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  • Title:
    Incidence and prevalence of atrial fibrillation: an analysis based on 8.3 million patients
  • Author: Wilke, Thomas ; Groth, Antje ; Mueller, Sabrina ; Pfannkuche, Matthias ; Verheyen, Frank ; Linder, Roland ; Maywald, Ulf ; Bauersachs, Rupert ; Breithardt, Günter
  • Subjects: Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Atrial Fibrillation - diagnosis ; Atrial Fibrillation - epidemiology ; Atrial Fibrillation - therapy ; Comorbidity ; Female ; Germany - epidemiology ; Humans ; Incidence ; Male ; Middle Aged ; Prevalence ; Sex Distribution ; Time Factors ; Young Adult
  • Is Part Of: Europace (London, England), 2013-04, Vol.15 (4), p.486-493
  • Description: Based on an analysis of claims-based data of 8.298 million members of two German statutory health insurance funds, the aim of this contribution is to quantify age-/gender-specific prevalence/incidence of atrial fibrillation (AF) in a German setting. Patients were classified as AF prevalent, if they had received at least two outpatient diagnoses of AF (ICD10-Code I48.1-) in two different quarters of the year and/or had received at least one main AF diagnosis during inpatient treatment between 1 January 2007 and 12 December 2008. They were considered to have had new onset AF in 2008 under the following conditions; first, there was no AF diagnosis in 2007; secondly, patients had not received oral anticoagulant medication in 2007; and thirdly, patients had received either one inpatient/two outpatient diagnoses of AF in 2008. In our sample, a total of 176 891 patients had AF. AF prevalence was 2.132%. The average age of these AF patients was 73.1 years, and 55.5% (98 190 patients) were male. The incidence of AF in our sample was 4.358 cases/1000 person-years in men and 3.868 cases/1000 person-years in women. A comparison of the distribution of AF prevalence/incidence in our population with that in already published studies showed that our figures were higher, especially in the age groups above 70 years. Our data show that in a large industrial nation such as Germany care provision structures are going to be challenged by a requirement to treat more AF patients in the future.
  • Publisher: England
  • Language: English
  • Identifier: ISSN: 1099-5129
    EISSN: 1532-2092
    DOI: 10.1093/europace/eus333
    PMID: 23220354
  • Source: Freely Accessible Journals
    MEDLINE
    PubMed Central
    Alma/SFX Local Collection
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