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Evaluating outcomes of same-day discharge after catheter ablation for atrial fibrillation in a real-world cohort

التفاصيل البيبلوغرافية
العنوان: Evaluating outcomes of same-day discharge after catheter ablation for atrial fibrillation in a real-world cohort
المؤلفون: Michael R. Gold, Rahul Khanna, Laura Goldstein, Xiaozhou Fan, Kevin Corriveau, Michael E. Field
المصدر: Heart Rhythm O2, Vol 2, Iss 4, Pp 333-340 (2021)
Heart Rhythm O2
بيانات النشر: Elsevier BV, 2021.
سنة النشر: 2021
مصطلحات موضوعية: musculoskeletal diseases, medicine.medical_specialty, Efficacy, Proportional hazards model, business.industry, Atrial Fibrillation Ablation, medicine.medical_treatment, Hazard ratio, Atrial fibrillation, Catheter ablation, Same-day discharge, medicine.disease, Confidence interval, Clinical, RC666-701, Internal medicine, Cohort, Propensity score matching, medicine, Diseases of the circulatory (Cardiovascular) system, Safety, business, Same day discharge
الوصف: Background As same-day discharge (SDD) after catheter ablation (CA) for atrial fibrillation (AF) is increasingly utilized, it is important to further investigate this approach. Objective To investigate the safety and efficacy of SDD after CA for AF in a large nationwide administrative sample. Methods The IBM MarketScan Commercial Claims and Encounters database was used to identify adult patients under 65 years undergoing CA for AF (2016–2020). Eligible patients were indexed to date of first CA and classified into SDD or overnight stay (ONS) groups based on length of service. A 1:3 propensity score matching was used to create comparable SDD:ONS samples. Study outcomes were CA-related complications within 30 days after index procedure and AF recurrence within 1 year. Cox proportional hazards models were estimated for outcome comparison. Results In the postmatch 30-day cohort, there were 1610 SDD and 4637 ONS patients with mean age 56.1 (± 7.6) years. There was no significant difference in composite 30-day postprocedural complication rate between SDD and ONS groups (2.7% vs 2.8%, respectively; P = .884). The most common complications were cerebrovascular events (0.7% vs 0.7%; P = .948), vascular access events (0.6% vs 0.6%; P = .935), and pericardial complications (0.6% vs 0.5%; P = .921). Further, no significant difference in composite AF recurrence rate at 1 year was observed among SDD and ONS groups (10.2% vs 8.8%; hazard ratio=1.167; 95% confidence interval 0.935–1.455; P = .172). Conclusion In a large, propensity-matched, real-world sample, SDD appears to be safe and have similar outcomes compared with overnight observation following CA for AF.
تدمد: 2666-5018
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::556b7d76fa7001e5c47b8bd9eb0c5c22
https://doi.org/10.1016/j.hroo.2021.07.001
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....556b7d76fa7001e5c47b8bd9eb0c5c22
قاعدة البيانات: OpenAIRE
الوصف
تدمد:26665018