Impact of age on hospital outcomes after catheter ablation for ventricular tachycardia
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....
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-04-01
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| Series: | Journal of Arrhythmia |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/joa3.12998 |
| _version_ | 1797221551811067904 |
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| author | Min Choon Tan Yong Hao Yeo Qi Xuan Ang Chrystina Kiwan Olubadewa Fatunde Justin Z. Lee Aneesh Tolat Dan Sorajja |
| author_facet | Min Choon Tan Yong Hao Yeo Qi Xuan Ang Chrystina Kiwan Olubadewa Fatunde Justin Z. Lee Aneesh Tolat Dan Sorajja |
| author_sort | Min Choon Tan |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T13:07:14Z |
| format | Article |
| id | doaj.art-52947dfe915b4d34852b0ddef9ac105c |
| institution | Directory Open Access Journal |
| issn | 1880-4276 1883-2148 |
| language | English |
| last_indexed | 2024-04-24T13:07:14Z |
| publishDate | 2024-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-52947dfe915b4d34852b0ddef9ac105c2024-04-05T07:21:50ZengWileyJournal of Arrhythmia1880-42761883-21482024-04-0140231732410.1002/joa3.12998Impact of age on hospital outcomes after catheter ablation for ventricular tachycardiaMin Choon Tan0Yong Hao Yeo1Qi Xuan Ang2Chrystina Kiwan3Olubadewa Fatunde4Justin Z. Lee5Aneesh Tolat6Dan Sorajja7Department of Cardiovascular Medicine Mayo Clinic Phoenix Arizona USADepartment of Internal Medicine/Pediatrics William Beaumont University Hospital Royal Oak Michigan USADepartment of Internal Medicine Sparrow Health System and Michigan State University East Lansing Michigan USADepartment of Internal Medicine New York Medical College at Saint Michael's Medical Center Newark New Jersey USADepartment of Cardiovascular Medicine Mayo Clinic Phoenix Arizona USADepartment of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USADepartment of Cardiovascular Medicine Hartford Healthcare/University of Connecticut Hartford Connecticut USADepartment of Cardiovascular Medicine Mayo Clinic Phoenix Arizona USAAbstract 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.https://doi.org/10.1002/joa3.12998adultcatheter ablationelderlyhospital outcomeventricular tachycardia |
| spellingShingle | Min Choon Tan Yong Hao Yeo Qi Xuan Ang Chrystina Kiwan Olubadewa Fatunde Justin Z. Lee Aneesh Tolat Dan Sorajja Impact of age on hospital outcomes after catheter ablation for ventricular tachycardia Journal of Arrhythmia adult catheter ablation elderly hospital outcome ventricular tachycardia |
| title | Impact of age on hospital outcomes after catheter ablation for ventricular tachycardia |
| title_full | Impact of age on hospital outcomes after catheter ablation for ventricular tachycardia |
| title_fullStr | Impact of age on hospital outcomes after catheter ablation for ventricular tachycardia |
| title_full_unstemmed | Impact of age on hospital outcomes after catheter ablation for ventricular tachycardia |
| title_short | Impact of age on hospital outcomes after catheter ablation for ventricular tachycardia |
| title_sort | impact of age on hospital outcomes after catheter ablation for ventricular tachycardia |
| topic | adult catheter ablation elderly hospital outcome ventricular tachycardia |
| url | https://doi.org/10.1002/joa3.12998 |
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