Increasing trends in hospital care burden of atrial fibrillation in Korea, 2006 through 2015

Abstract

AF hospitalisations have increased exponentially over the past 10 years in Korea, in association with an increase in comorbid chronic diseases. Mortality associated with AF hospitalisations decreased during the last decade, but hospitalisation costs have markedly increased.

Prevalence and Associated Stroke Risk of Human Immunodeficiency Virus-Infected Patients With Atrial Fibrillation ― A Nationwide Cohort Study ―

“…The OAC rate in Korea was 36.4-40.3% in AF patients with regular hospital visits as assessed by the NHIS database. 2,23 This prescription rate was similar to results from the Taiwan Stroke Registry, where only 28.28% of patients with AF were prescribed OACs. 24…”

“…This study was based on the national health claims database established by the National Health Insurance Service (NHIS) of the Republic of Korea. [1][2][3][4]14 The NHIS is the single insurer managed by the Korean government, and covers the entire Korean population. The following data are provided: sociodemographic information, individuals' use of inpatient and outpatient services, pharmacy dispensing claims, and mortality data.…”

“…The diagnosis of AF has been validated in the NHIS database, with a positive predictive value of 94.1%. [1][2][3][4]14,15 Patients with a diagnosis of HIV were identified using the ICD-10 codes (B20-B24).…”

Global rising trends of atrial fibrillation: a major public health concern

“…In this context, Kim et al used the National Health Insurance Service (NHIS) database of Korea to describe the temporal trends of hospitalisation, costs, treatment patterns and outcomes of AF in Korea 4. Kim and colleagues found a substantial increase in the hospitalisation rates of AF from 767 per million in 2006 to 3986 per million Koreans in 2015.…”

Heartbeat: The worldwide burden of atrial fibrillation

“…Most data on AF prevalence and outcomes comes from western countries. However, Kim and colleagues1 present an analysis of recent trends in the hospital-care burden of AF in an Asian country – South Korea. Using the National Health Insurance Service (NHIS) database, this nationwide cohort included 9 31 138 patients hospitalised for AF from 2006 and 2015.…”