Author + information
- Steven R. Steinhubl,
- Alison M. Edwards,
- Jill Waalen,
- Robert Zambon,
- Rajesh Mehta,
- Lauren Ariniello,
- Gail Ebner,
- Katie Baca-Motes,
- Chureen Carter,
- Elise Felicione,
- Troy Sarich and
- Eric Topol
Routine ECG screening for AF is not recommended due in part to a lack of healthcare utilization data. In the mSToPS trial asymptomatic individuals underwent screening with an ECG sensor patch. Healthcare utilization was evaluated following monitoring & compared to matched controls.
1738 Aetna members underwent active monitoring for a median of 24.7 days. They were matched with 3476 observational controls. Using claims data, the mean monthly utilization of cardiology, primary care & emergency room visits and hospitalizations were determined for the 4 months prior to monitoring (baseline) and the 12 months after. Negative binomial regression models were developed while adjusting for additional covariates and reported as Incidence Rate Ratios (IRRs).
Mean age was 73.7, 40.5% were female and median CHA2DS2-VASc was 3. At 1 year, AF was newly diagnosed in 6.3% of those actively monitored vs 2.3% in controls (p<0.001). In the full population ECG screening was associated with a significant increase in cardiology outpatient visits, whereas in the subpopulations of those newly diagnosed with AF it was associated with a significant decrease in ED visits and hospitalizations (Table).
Active monitoring with a continuous ECG monitoring patch significantly improved the diagnosis of AF and was associated with significantly lower ED visits and hospitalizations in that population, and a significant increase in cardiology outpatient visits in the full study population.
Moderated Poster Contributions
Arrhythmias and Clinical EP Moderated Poster Theater, Poster Hall, Hall F
Saturday, March 16, 2019, 10:15 a.m.-10:25 a.m.
Session Title: Atrial Arrhythmias: What the Latest Research Tells Us About Mechanism and Outcomes
Abstract Category: 06. Arrhythmias and Clinical EP: Other
Presentation Number: 1001-05
- 2019 American College of Cardiology Foundation