Sadaf Farasat1, Asa Tsoi2, Kyulim Lee2, Craig I Coleman2, Elaine Nguyen3. 1. Division of Geriatrics Medicine, University of California San Diego, La Jolla, CA, USA. 2. University of Connecticut School of Pharmacy, Storrs, CT, USA. 3. Idaho State University College of Pharmacy, Meridian, ID, USA.
Abstract
INTRODUCTION: Hemorrhagic stroke is a life-threatening complication, and may be particularly prevalent in patients with atrial fibrillation/flutter (AF/AFL) due to their need for anticoagulation. We sought to estimate in-hospital mortality, length of stay (LOS) and in-patient treatment cost of patients with AF/AFL admitted with hemorrhagic stroke. METHODS: We used the 2008-2011 National Inpatient Sample to identify adult AF/AFL patients with a principle discharge diagnosis of subarachnoid or intracerebral hemorrhage. Endpoints of interest included in-hospital mortality, LOS, and hospital treatment costs (2015 US$). RESULTS: In-hospital mortality for subarachnoid and intracerebral hemorrhage was 31.3% and 31.8%, respectively. Patients had a median LOS of 5 days and 25% of patients accrued costs in excess of $24,107/stay. CONCLUSIONS: Admissions for hemorrhagic stroke among patients with AF/AFL were associated with substantial in-hospital mortality and treatment costs.
INTRODUCTION: Hemorrhagic stroke is a life-threatening complication, and may be particularly prevalent in patients with atrial fibrillation/flutter (AF/AFL) due to their need for anticoagulation. We sought to estimate in-hospital mortality, length of stay (LOS) and in-patient treatment cost of patients with AF/AFL admitted with hemorrhagic stroke. METHODS: We used the 2008-2011 National Inpatient Sample to identify adult AF/AFL patients with a principle discharge diagnosis of subarachnoid or intracerebral hemorrhage. Endpoints of interest included in-hospital mortality, LOS, and hospital treatment costs (2015 US$). RESULTS: In-hospital mortality for subarachnoid and intracerebral hemorrhage was 31.3% and 31.8%, respectively. Patients had a median LOS of 5 days and 25% of patients accrued costs in excess of $24,107/stay. CONCLUSIONS: Admissions for hemorrhagic stroke among patients with AF/AFL were associated with substantial in-hospital mortality and treatment costs.
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