Impact of age on hospital outcomes after catheter ablation for ventricular tachycardia

• Published in: Journal of arrhythmia 2024-04, Vol.40 (2), p.317-324
• Main Authors: Tan, Min Choon, Yeo, Yong Hao, Ang, Qi Xuan, Kiwan, Chrystina, Fatunde, Olubadewa, Lee, Justin Z., Tolat, Aneesh, Sorajja, Dan
• Format: Article
• Language: English
• Subjects: Ablation; adult; Age groups; Cardiac arrhythmia; Cardiomyopathy; Care and treatment; catheter ablation; Catheters; Codes; elderly; Embolization; hospital outcome; Hospitalization; Hospitals; Ischemia; Mortality; Multivariate analysis; Patient outcomes; Patients; Trends; Ventricular tachycardia
• ISSN: 1880-4276; 1883-2148
• DOI: 10.1002/joa3.12998

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