TY - JOUR
T1 - Thirty-day readmission after catheter ablation for ventricular tachycardia
T2 - associated factors and outcomes
AU - Tan, Min Choon
AU - Ang, Qi Xuan
AU - Yeo, Yong Hao
AU - Deshmukh, Abhishek
AU - Scott, Luis R.
AU - Hussein, Ayman A.
AU - Sroubek, Jakub
AU - Santangeli, Pasquale
AU - Wazni, Oussama M.
AU - Lee, Justin Z.
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023.
PY - 2024/4
Y1 - 2024/4
N2 - Background: Patients with ventricular tachycardia (VT) who require VT ablation are at high risk for readmission. This study aimed to identify the causes and outcomes of 30-day readmission after VT ablation and to analyze the predictors of recurrent VT that required rehospitalization. Methods: Using the Nationwide Readmission Database, our study included patients aged ≥ 18 years who underwent VT catheter ablation between 2017 and 2020. Based on the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), we identified the causes of 30-day readmission by organ systems and analyzed their outcomes. Additional analysis was performed to determine the independent predictors of 30-day readmission for recurrent VT. Results: Of the 4228 patients who underwent VT ablation, 14.2% were readmitted within 30 days of the procedure. The most common cause of readmission was cardiac events (73.6%). Among the cardiac-related readmissions, recurrent VT (47.7%) and congestive heart failure (CHF) (12.9%) were the most common etiologies. Among the readmissions, patients readmitted for CHF had the highest rate of readmission mortality (9.2%). Of the patients readmitted within 30 days of the procedure, 278 patients (6.8%) were readmitted for recurrent VT. Via multivariable analysis, CHF (OR: 1.97; 95% CI: 1.12–3.47; P = 0.02) and non-elective index admissions (OR: 1.63; 95% CI: 1.04–2.55; P = 0.03) were identified as the independent predictors predictive of 30-day readmissions for recurrent VT. Conclusions: Recurrent VT was the most common cause of readmission after the VT ablation procedure, and CHF and non-elective index admissions were the significant predictors of these early readmissions. Readmission due to CHF had the highest mortality rate during readmission.
AB - Background: Patients with ventricular tachycardia (VT) who require VT ablation are at high risk for readmission. This study aimed to identify the causes and outcomes of 30-day readmission after VT ablation and to analyze the predictors of recurrent VT that required rehospitalization. Methods: Using the Nationwide Readmission Database, our study included patients aged ≥ 18 years who underwent VT catheter ablation between 2017 and 2020. Based on the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), we identified the causes of 30-day readmission by organ systems and analyzed their outcomes. Additional analysis was performed to determine the independent predictors of 30-day readmission for recurrent VT. Results: Of the 4228 patients who underwent VT ablation, 14.2% were readmitted within 30 days of the procedure. The most common cause of readmission was cardiac events (73.6%). Among the cardiac-related readmissions, recurrent VT (47.7%) and congestive heart failure (CHF) (12.9%) were the most common etiologies. Among the readmissions, patients readmitted for CHF had the highest rate of readmission mortality (9.2%). Of the patients readmitted within 30 days of the procedure, 278 patients (6.8%) were readmitted for recurrent VT. Via multivariable analysis, CHF (OR: 1.97; 95% CI: 1.12–3.47; P = 0.02) and non-elective index admissions (OR: 1.63; 95% CI: 1.04–2.55; P = 0.03) were identified as the independent predictors predictive of 30-day readmissions for recurrent VT. Conclusions: Recurrent VT was the most common cause of readmission after the VT ablation procedure, and CHF and non-elective index admissions were the significant predictors of these early readmissions. Readmission due to CHF had the highest mortality rate during readmission.
KW - Catheter ablation
KW - Outcome of readmission
KW - Recurrent ventricular tachycardia
KW - Ventricular tachycardia
UR - http://www.scopus.com/inward/record.url?scp=85166427333&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85166427333&partnerID=8YFLogxK
U2 - 10.1007/s10840-023-01614-9
DO - 10.1007/s10840-023-01614-9
M3 - Article
C2 - 37530968
AN - SCOPUS:85166427333
SN - 1383-875X
VL - 67
SP - 513
EP - 521
JO - Journal of Interventional Cardiac Electrophysiology
JF - Journal of Interventional Cardiac Electrophysiology
IS - 3
ER -