Sex-based differences in outcomes, 30-day readmissions, and costs following catheter ablation of atrial fibrillation: the United States Nationwide Readmissions Database 2010–14

Abstract Aims Although catheter ablation has emerged as an important therapy for patients with symptomatic atrial fibrillation (AF), there are limited data on sex-based differences in outcomes. We sought to compare in-hospital outcomes and 30-day readmissions of women and men undergoing AF ablation....

Full description

Saved in:
Bibliographic Details
Published in:European heart journal 2019-09, Vol.40 (36), p.3035-3043
Main Authors: Cheung, Jim W, Cheng, Edward P, Wu, , Xian, Yeo, Ilhwan, Christos, Paul J, Kamel, Hooman, Markowitz, Steven M, Liu, Christopher F, Thomas, George, Ip, James E, Lerman, Bruce B, Kim, Luke K
Format: Article
Language:English
Subjects:
Aged
Atrial Fibrillation - epidemiology
Atrial Fibrillation - surgery
Catheter Ablation - adverse effects
Catheter Ablation - economics
Clinical Research
Databases, Factual
Female
Heart Injuries - epidemiology
Hemorrhage - epidemiology
Humans
Male
Patient Readmission - statistics & numerical data
Postoperative Complications - epidemiology
Sex Distribution
Tachycardia - epidemiology
United States - epidemiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Aims Although catheter ablation has emerged as an important therapy for patients with symptomatic atrial fibrillation (AF), there are limited data on sex-based differences in outcomes. We sought to compare in-hospital outcomes and 30-day readmissions of women and men undergoing AF ablation. Methods and results Using the United States Nationwide Readmissions Database, we analysed patients undergoing AF ablation between 2010 and 2014. Based on ICD-9-CM codes, we identified co-morbidities and outcomes. Multivariable logistic regression and inverse probability-weighting analysis were performed to assess female sex as a predictor of endpoints. Of 54 597 study patients, 20 623 (37.7%) were female. After adjustment for age, co-morbidities, and hospital factors, women had higher rates of any complication [adjusted odds ratio (aOR) 1.39; P 
ISSN:0195-668X
1522-9645
DOI:10.1093/eurheartj/ehz151