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

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 Us...

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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
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container_end_page 324
container_issue 2
container_start_page 317
container_title Journal of arrhythmia
container_volume 40
creator Tan, Min Choon
Yeo, Yong Hao
Ang, Qi Xuan
Kiwan, Chrystina
Fatunde, Olubadewa
Lee, Justin Z.
Tolat, Aneesh
Sorajja, Dan
description 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 
doi_str_mv 10.1002/joa3.12998
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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. Our study suggests that elderly patients have poorer in‐hospital outcome, early mortality, non‐home discharge, and 30‐day readmissions following catheter ablation for VT. However, elderly patients do not have a higher risk of procedural complications.]]></description><identifier>ISSN: 1880-4276</identifier><identifier>EISSN: 1883-2148</identifier><identifier>DOI: 10.1002/joa3.12998</identifier><identifier>PMID: 38586842</identifier><language>eng</language><publisher>Japan: John Wiley &amp; Sons, Inc</publisher><subject>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</subject><ispartof>Journal of arrhythmia, 2024-04, Vol.40 (2), p.317-324</ispartof><rights>2024 The Authors. published by John Wiley &amp; Sons Australia, Ltd on behalf of Japanese Heart Rhythm Society.</rights><rights>2024 The Authors. Journal of Arrhythmia published by John Wiley &amp; Sons Australia, Ltd on behalf of Japanese Heart Rhythm Society.</rights><rights>COPYRIGHT 2024 John Wiley &amp; Sons, Inc.</rights><rights>2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c5398-5578d653a37a4daae62033a8ec7a818f76ac44da1398a6b1d9e543eb62bb40963</cites><orcidid>0000-0001-5559-7236 ; 0000-0002-7682-8934</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3032868321/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3032868321?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,11562,25753,27924,27925,37012,37013,44590,46052,46476,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38586842$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, Min Choon</creatorcontrib><creatorcontrib>Yeo, Yong Hao</creatorcontrib><creatorcontrib>Ang, Qi Xuan</creatorcontrib><creatorcontrib>Kiwan, Chrystina</creatorcontrib><creatorcontrib>Fatunde, Olubadewa</creatorcontrib><creatorcontrib>Lee, Justin Z.</creatorcontrib><creatorcontrib>Tolat, Aneesh</creatorcontrib><creatorcontrib>Sorajja, Dan</creatorcontrib><title>Impact of age on hospital outcomes after catheter ablation for ventricular tachycardia</title><title>Journal of arrhythmia</title><addtitle>J Arrhythm</addtitle><description><![CDATA[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. Our study suggests that elderly patients have poorer in‐hospital outcome, early mortality, non‐home discharge, and 30‐day readmissions following catheter ablation for VT. 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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. Our study suggests that elderly patients have poorer in‐hospital outcome, early mortality, non‐home discharge, and 30‐day readmissions following catheter ablation for VT. However, elderly patients do not have a higher risk of procedural complications.]]></abstract><cop>Japan</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>38586842</pmid><doi>10.1002/joa3.12998</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-5559-7236</orcidid><orcidid>https://orcid.org/0000-0002-7682-8934</orcidid><oa>free_for_read</oa></addata></record>
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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
title Impact of age on hospital outcomes after catheter ablation for ventricular tachycardia
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