Your browser doesn't support javascript.
loading
Impact of age on hospital outcomes after catheter ablation for ventricular tachycardia.
Tan, Min Choon; Yeo, Yong Hao; Ang, Qi Xuan; Kiwan, Chrystina; Fatunde, Olubadewa; Lee, Justin Z; Tolat, Aneesh; Sorajja, Dan.
Afiliación
  • Tan MC; Department of Cardiovascular Medicine Mayo Clinic Phoenix Arizona USA.
  • Yeo YH; Department of Internal Medicine New York Medical College at Saint Michael's Medical Center Newark New Jersey USA.
  • Ang QX; Department of Internal Medicine/Pediatrics William Beaumont University Hospital Royal Oak Michigan USA.
  • Kiwan C; Department of Internal Medicine Sparrow Health System and Michigan State University East Lansing Michigan USA.
  • Fatunde O; Department of Internal Medicine New York Medical College at Saint Michael's Medical Center Newark New Jersey USA.
  • Lee JZ; Department of Cardiovascular Medicine Mayo Clinic Phoenix Arizona USA.
  • Tolat A; Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA.
  • Sorajja D; Department of Cardiovascular Medicine Hartford Healthcare/University of Connecticut Hartford Connecticut USA.
J Arrhythm ; 40(2): 317-324, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38586842
ABSTRACT

Background:

The real-world data on the safety profile of ventricular tachycardia (VT) ablation among elderly patients is not well-established. This study aimed to evaluate the procedural outcomes among those aged 18-64 years versus those aged ≥65 years who underwent catheter ablation of VT.

Method:

Using the Nationwide Readmissions Database, our study included patients aged ≥18 years who underwent VT catheter ablation between 2017 and 2020. We divided the patients into non-elderly (18-64 years old) and elderly age groups (≥65 years old). We then analyzed the in-hospital procedural outcome and 30-day readmission between these two groups.

Results:

Our study included 2075 (49.1%) non-elderly patients and 2153 (50.9%) elderly patients who underwent VT ablation. Post-procedurally, elderly patients had significantly higher rates of prolonged index hospitalization (≥7 days; 35.5% vs. 29.3%, p < .01), non-home discharge (13.4% vs. 6.0%, p < .01), 30-day readmission (17.0% vs. 11.4%, p < .01), and early mortality (5.5% vs. 2.4%, p < .01). There was no significant difference in the procedural complications between two groups, namely vascular complications, hemopericardium/cardiac tamponade, cerebrovascular accident (CVA), major bleeding requiring blood transfusion, and systemic embolization. Through multivariable analysis, the elderly group was associated with higher odds of early mortality (OR 7.50; CI 1.86-30.31, p = .01), non-home discharge (OR 2.41; CI 1.93-3.00, p < .01) and 30-day readmission (OR 1.58; CI 1.32-1.89, p < .01).

Conclusion:

Elderly patients have worse in-hospital outcome, early mortality, non-home discharge, and 30-day readmission following catheter ablation for VT. There was no significant difference between elderly and non-elderly groups in the procedural complications.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Arrhythm Año: 2024 Tipo del documento: Article Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Arrhythm Año: 2024 Tipo del documento: Article Pais de publicación: Japón