Evidence map›Paper›PMID 36738152›Full record

ArticleJournal of cardiovascular electrophysiology2023

Rates and predictors of hospital and emergency department care after catheter ablation of atrial fibrillation.

Daniel J Friedman, James V Freeman, Charlene Wong, Janice Febre, Maximiliano Iglesias, Rahul Khanna, Jonathan P Piccini

Open access · greenAbstract read
In one paragraph

Article in Journal of cardiovascular electrophysiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Same-day discharge vs. overnight stay following catheter ablation for atrial fibrillation: a comprehensive review and meta-analysis by the European Heart Rhythm Association Health Economics Committee.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Daniel J FriedmanElectrophysiology Section, Duke University Hospital, Durham, North Carolina, USA.ORCID 0000-0001-5791-1954
James V FreemanDepartment of Internal Medicine, Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Charlene WongMedTech Epidemiology & Data Sciences, Johnson & Johnson, New Brunswick, New Jersey, USA.ORCID 0000-0001-9209-1517
Janice FebreElectrophysiology Section, Duke University Hospital, Durham, North Carolina, USA.
Maximiliano IglesiasFranchise Health Economics and Market Access, Johnson & Johnson, Irvine, California, USA.
Rahul KhannaMedTech Epidemiology & Data Sciences, Johnson & Johnson, New Brunswick, New Jersey, USA.ORCID 0000-0002-2478-1724
Jonathan P PicciniElectrophysiology Section, Duke University Hospital, Durham, North Carolina, USA.ORCID 0000-0003-0772-2404
Duke University Hospital · USJohnson & Johnson (United States) · USYale University · US

Funding

Neurocognition and Greater Maintenance of Sinus Rhythm in AF (NOGGIN AF)R01AG074185 · NIA · DUKE UNIVERSITY · PI MATHEW, JOSEPH P, PICCINI, JONATHAN PAUL · 2021 to 2025
$3.7M
NIA NIH HHS R01 AG074185
6 · The paper itself

Abstract

introductionAlthough atrial fibrillation (AF) ablation has become increasingly safer, rehospitalization and emergency department (ED) evaluations can occur in the postablation period. Better understanding of the frequency, causes, and predictors for hospitalization and ED evaluation after ablation are needed, particularly as same-day discharge programs expand.

methodsThe Optum Clinformatics database was used to define rates, causes, and predictors of hospital and ED care after AF ablation performed between January 2016 and May 2019. Primary outcomes were all-cause hospital and ED care within 30 days of discharge. Independent predictors of all-cause ED and hospital admissions care were determined via logistic regression.

resultsOf the 18 848 patients in this study, the mean age was 67.5 ± 10 years, 37.9% were female, and the mean CHA

conclusionApproximately 7%-8% of patients require unplanned hospitalization or ED care after AF ablation, most commonly due to SVT/AF. Predictors of unscheduled care include patient age, sex, and several patient comorbidities. This study can inform quality improvement initiatives by identifying common causes for unscheduled care.

Indexed as

Atrial FibrillationCatheter AblationTachycardia, ParoxysmalTachycardia, SupraventricularAgedEmergency Service, HospitalFemaleHospitalsHumansMaleMiddle Agedatrial fibrillationcatheter ablationdatabasehospitalization

Identifiers

PMID36738152
PMCPMC12367331
OpenAlexW4319216260

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.