The impact of atrial fibrillation on the cost of stroke: the berlin acute stroke study.

@article{Brggenjrgen2007TheIO,
  title={The impact of atrial fibrillation on the cost of stroke: the berlin acute stroke study.},
  author={Bernd Br{\"u}ggenj{\"u}rgen and Karin Rossnagel and Stephanie Roll and Fredrik L. Andersson and Dagmar Selim and Jacqueline M{\"u}ller-Nordhorn and Christian Hans Nolte and Gerhard Jan Jungeh{\"u}lsing and Arno Villringer and Stefan N. Willich},
  journal={Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research},
  year={2007},
  volume={10 2},
  pages={
          137-43
        },
  url={https://api.semanticscholar.org/CorpusID:24019560}
}
Medical care for stroke patients with AF is associated with higher costs compared with those without AF; this is explained mainly by confounding factors and driven essentially by a significant difference in acute hospitalization costs.
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Stroke‐related care for IS, HS, and TIA is costly, especially among individuals with AF, and reducing the risk of AF‐related stroke is important from both clinical and economic standpoints.

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In this first systematic review of the economic burden of AF, hospitalizations consistently represented the major cost driver and are expected to increase in future due to ageing populations.

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Efforts to reduce the economic burden of AF should focus on avoidance of AF hospital admissions and optimization of stroke prevention and rhythm control, and current treatment modalities and cost of AF management in Germany are provided.

Resource Utilization and Outcomes in Patients with Atrial Fibrillation

There was large heterogeneity in resource utilization between AF patients, although overall, this was still higher than controls without AF, and higher resource utilization was evident in patients at higher risk of stroke, and remained where antithrombotic therapy was discontinued.
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26 References

Acute stroke with atrial fibrillation. The Copenhagen Stroke Study.

Stroke in patients with AF is generally more severe and outcome markedly poorer than in Patients with sinus rhythm, which accentuates the importance of anticoagulant treatment of individuals with AF.

Gender differences in knowledge of stroke in patients with atrial fibrillation.

Stroke patients with atrial fibrillation have a worse prognosis than patients without: data from the Austrian Stroke registry.

[Neurological events in patients with atrial fibrillation: outcome and preventive practices].

BACKGROUND Atrial fibrillation (AF) is associated with neurologic events (transient ischemic attack (TIA) and stroke). The objective of the present study was to determine the outcome of patients with…

Are Cost Benefits of Anticoagulation for Stroke Prevention in Atrial Fibrillation Underestimated?

There is considerable evidence that stroke in AF patients has a worse outcome than in patients without AF, including higher mortality, severity, and recurrence rates, and greater functional impairment and dependency.

Out-of-hospital delays in patients with acute stroke.

Neurologische Ereignisse bei Patienten mit Vorhofflimmern: Outcome und Präventionspraxis

Background: Atrial fibrillation (AF) is associated with neurologic events (transient ischemic attack (TIA) and stroke). The objective of the present study was to determine the outcome of patients…

Management Patterns and Health Care Use after Intracerebral Hemorrhage

The management patterns, cost of treatment and overall resource utilization after intracerebral hemorrhage (ICH) as well as the major differences to ischemic stroke (IS) are described.

Atrial fibrillation as an independent risk factor for stroke: the Framingham Study.

The data suggest that the elderly are particularly vulnerable to stroke when atrial fibrillation is present, and the effects of hypertension, coronary heart disease, and cardiac failure on the risk of stroke became progressively weaker with increasing age.

Anticoagulants for atrial fibrillation: Why is the treatment rate so low?

Possible solutions to the problem of atrial fibrillation increasing in many countries along with aging demographics include improved patient and physician education, the use of anticoagulation clinics, new approaches to AF, and potential treatment improvements through use of newer antICOagulants.

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