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Cardiology Research and Practice
Volume 2016 (2016), Article ID 8956020, 5 pages
Research Article

Utilization and Predictors of Electrical Cardioversion in Patients Hospitalized for Atrial Fibrillation

1Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
2Division of Cardiology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA

Received 29 November 2015; Accepted 11 January 2016

Academic Editor: Yi-Gang Li

Copyright © 2016 Yogita M. Rochlani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Atrial fibrillation (AF) is a common arrhythmia in adults associated with thromboembolic complications. External electrical cardioversion (DCCV) is a safe procedure used to convert AF to normal sinus rhythm. We sought to study factors that affect utilization of DCCV in hospitalized patients with AF. The study sample was drawn from the Nationwide Inpatient Sample (NIS) of the Healthcare Cost and Utilization Project in the United States. Patients with a primary discharge diagnosis of AF that received DCCV during hospitalization in the years 2000–2010 were included. An estimated 2,810,530 patients with a primary diagnosis of AF were hospitalized between 2001 and 2010, of which 1,19,840 (4.26%) received DCCV. The likelihood of receiving DCCV was higher in patients who were males, whites, privately insured, and aged < 40 years and those with fewer comorbid conditions. Higher CHADS2 score was found to have an inverse association with DCCV use. In-hospital stroke, in-hospital mortality, length of stay, and cost for hospitalization were significantly lower for patients undergoing DCCV during AF related hospitalization. Further research is required to study the contribution of other disease and patient related factors affecting the use of this procedure as well as postprocedure outcomes.