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In addition to the quality to life and health decrements reviewed in the previous Figures, there are significant healthcare cost consequences. As shown in the Figure, both the direct and indirect costs of healthcare for stroke patients are substantially increased in those patients who have AFib and a stroke. [14] [15] [16] [17] [18]The conclusion must be that the healthcare costs for treating stroke, particularly in patients with AFib, mandate the need to do a better job at preventing stroke, particularly in patients with AFib.
Reiffel JA. Am J Med 2013; 126: 00-00.
[14] Rosamond W, Flegal K, Furie K, et al; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2008;117:e25-146.
[15] Lloyd-Jones D, Adams R, Carnethon M, et al; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009;119:e21-181.
[16] Lloyd-Jones D, Adams RJ, Brown TM, et al; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2010 update: a report from the American Heart Association. Circulation. 2010;121:e46-e215.
[17] Demaerschalk BM, Hwang HM, Leung G. US cost burden of ischemic stroke: a systematic literature review. Am J Manag Care. 2010;16:525-533.
[18] Boccuzzi SJ, Martin J, Stephenson J, et al. Retrospective study of total healthcare costs associated with chronic nonvalvular atrial fibrillation and the occurrence of a first transient ischemic attack, stroke or major bleed. Curr Med Res Opin. 2009;25:2853-2864.