Table 4. Clinical Utilization Over 1 Year in Those Actively Monitored and Their Matched Observational Controls.
Actively Monitored Group (n = 1738) | Matched Control Group (n = 3476) | Difference (95% CI) |
|
---|---|---|---|
AF-related therapeutic interventions, No./100 person-years) | |||
Pharmacy fill for an anticoagulant | 5.7 | 3.7 | 2.0 (1.9 to 2.2) |
Pharmacy fill for an anticoagulant for individuals with AF | 2.4 | 1.3 | 1.1 (1.0 to 1.2) |
Pharmacy fill for an antiarrhythmic medication | 0.8 | 0.3 | 0.5 (0.4 to 0.5) |
Cardioversion procedures | 0.24 | 0.19 | 0.05 (0.03 to 0.08) |
Cardiac ablation | 0.3 | 0.1 | 0.2 (0.18 to 0.24) |
ED visit or inpatient stays with an AF diagnosis | 1.3 | 1.4 | 0.1 (−0.1 to 0) |
Clinical use (No./100 person-years) | |||
Placement of a pacemaker or defibrillator | 0.79 | 0 | 0.79 (0.75 to 0.84) |
Any cause ED visit or inpatient stays | 22.5 | 23.7 | −1.2 (−1.5 to −0.9) |
Participants with at least 1 all-cause outpatient office visit to a primary care clinician | 83.5 | 82.6 | 0.9 (0.4 to 1.5) |
Participants with at least 1 all-cause outpatient office visit to a cardiologist | 33.5 | 26.0 | 7.5 (7.2 to 7.9) |
Participants with at least 1 all-cause outpatient office visit to a cardiologist or primary care clinician | 89.2 | 88.1 | 1.1 (0.5 to 1.7) |
Clinical use (No./person-year) | |||
Primary care visits | 2.78 | 2.84 | −0.07 (−0.17 to 0.03) |
Cardiology visits | 0.67 | 0.48 | 0.19 (0.15 to 0.24) |
Cardiology or primary care visits | 3.45 | 3.32 | 0.12 (0.01 to 0.23) |
Abbreviations: AF, atrial fibrillation; ED, emergency department.