Cardiovascular Hospitalizations and Resource Use Following Atrial Fibrillation Ablation.
Cardiovascular Hospitalizations and Resource Use Following Atrial Fibrillation Ablation.
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DOI：
10.1161/jaha.122.028609
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发表时间：
2023-09-19
影响因子：
5.4
通讯作者：
Jain, Sandeep K.
中科院分区：
文献类型：
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作者：
Dhande, Mehak;Barakat, Amr;Canterbury, Ann;Thoma, Floyd;Mulukutla, Suresh;Sezer, Ahmet;Aronis, Konstantinos N.;Bhonsale, Aditya;Kancharla, Krishna;Voigt, Andrew H.;Wang, Norman C.;Shalaby, Alaa;Mark Estes, N. A., III;Saba, Samir;Jain, Sandeep K.
在未来几年中，心房颤动（AF）相关的发病率和费用将显著增加。因此，检查房颤治疗对卫生保健资源使用的影响是谨慎的。本研究考察了在多医院系统中房颤消融对住院、住院时间和资源使用的影响。在一项观察性分析中，比较了3417例患者在房颤消融前12个月和消融后24个月的总住院、心血管住院和房颤住院、急诊就诊和住院时间的结果。还比较了房颤消融前1年和消融后2年的电转复和抗心律失常的使用情况。与一年前相比，房颤消融后2年每位患者每年的总住院次数（0.7±1.3次比0.3±0.7次，P<0.001）、心血管（0.7±1.2次比0.2±0.6次，P<0.001）和房颤（0.6±1.1次比0.1±0.3次，P<0.001）和急诊就诊次数（0.8±2.1次比0.4±0.9次，P<0.001）均有所减少。每位患者年平均住院时间（1.4±7.9天对3.6±5.3天，P<0.0001）、接受抗心律失常治疗的患者比例（21.2%对58.5%，P<0.0001）和接受电转复的患者比例（16.1%对28.1%，P<0.0001）在房颤消融后2年低于1年前。我们注意到，与一年前相比，在指数房颤消融后的2年期间，总住院、心血管和房颤住院以及医疗资源的使用都有所减少。房颤消融可能预示着患者发病率和医疗费用的下降。
Over the next few years, atrial fibrillation (AF)–related morbidity and costs will increase significantly. Thus, it is prudent to examine the impact of AF treatment on health care resource use. This study examined the impact of AF ablation on hospitalization, length of stay, and resource use for patients undergoing AF ablation in a multihospital system. In an observational analysis, outcomes of total, cardiovascular, and AF hospitalizations, emergency department visits, and length of stay were compared for 3417 patients between 12 months before and 24 months following AF ablation. Use of electrical cardioversions and antiarrhythmic use were also compared 1 year before to 2 years after AF ablation. There were fewer total (0.7±1.3 versus 0.3±0.7; P<0.001), cardiovascular (0.7±1.2 versus 0.2±0.6; P<0.001), and AF (0.6±1.1 versus 0.1±0.3; P<0.001) hospitalizations and emergency department visits (0.8±2.1 versus 0.4±0.9; P<0.001) per patient‐year for the 2 years following AF ablation compared with 1 year before. Average length of stay per patient‐year (1.4±7.9 versus 3.6±5.3 days; P<0.0001), the percentage of patients on antiarrhythmic therapy (21.2% versus 58.5%; P<0.0001), and those undergoing electrical cardioversions (16.1% versus 28.1%; P<0.0001) were lower 2 years following AF ablation versus 1 year before. We noted a decrease in total, cardiovascular, and AF hospitalizations and health care resource use during the 2‐year period after index AF ablation, compared with the 1 year before. AF ablation may portend a decline in patient morbidity and health care costs.
DOI：
10.1016/j.hroo.2021.12.005
发表时间：
2022-03
期刊：
Heart rhythm O2
影响因子：
--
作者：
Mansour MC;Gillen EM;Garman A;Rosemas SC;Franco N;Ziegler PD;Pines JM
通讯作者：
Pines JM