Evidence map›Paper›PMID 40838366›Full record

ArticlePacing and clinical electrophysiology : PACE2025

Racial Differences in Length of Stay After Atrial Fibrillation Ablation.

Waseem Nosair, Yasmina Sirgi, Evan Czulada, Nebu Alexander, Jamal Smith, Sarahfaye Dolman, Apostolos Tsimploulis, Athanasios Thomaides, David Strouse, Zayd Eldadah and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pacing and clinical electrophysiology : PACE, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Racial Differences in Length of Stay After Atrial Fibrillation Ablation.Pacing and clinical electrophysiology : PACE · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Waseem NosairSchool of Medicine, Georgetown University, Washington, District of Columbia, USA.
Yasmina SirgiSchool of Medicine, Georgetown University, Washington, District of Columbia, USA.ORCID 0009-0000-8704-4185
Evan CzuladaSchool of Medicine, Georgetown University, Washington, District of Columbia, USA.
Nebu AlexanderPopulation Health Research, MedStar Health Research Institute, MedStar Washington Hospital Center, Washington, District of Columbia, USA.
Jamal SmithPopulation Health Research, MedStar Health Research Institute, MedStar Washington Hospital Center, Washington, District of Columbia, USA.
Sarahfaye DolmanPopulation Health Research, MedStar Health Research Institute, MedStar Washington Hospital Center, Washington, District of Columbia, USA.
Apostolos TsimploulisSection of Electrophysiology, MedStar Heart and Vascular Institute, Washington Hospital Center, Washington, District of Columbia, USA.
Athanasios ThomaidesSection of Electrophysiology, MedStar Heart and Vascular Institute, Washington Hospital Center, Washington, District of Columbia, USA.
David StrouseSection of Electrophysiology, MedStar Heart and Vascular Institute, Washington Hospital Center, Washington, District of Columbia, USA.
Zayd EldadahSection of Electrophysiology, MedStar Heart and Vascular Institute, Washington Hospital Center, Washington, District of Columbia, USA.
Sung LeeSection of Electrophysiology, MedStar Heart and Vascular Institute, Washington Hospital Center, Washington, District of Columbia, USA.
Morgana Mongraw-ChaffinPopulation Health Research, MedStar Health Research Institute, MedStar Washington Hospital Center, Washington, District of Columbia, USA.
William S WeintraubSchool of Medicine, Georgetown University, Washington, District of Columbia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRacial and sex disparities in catheter ablation (CA) utilization for atrial fibrillation (AF) have been documented. Less is known about race and sex differences in comorbidity burden and quality of care outcomes after CA.

objectivesWe sought to characterize racial and sex differences in patient and procedural characteristics and their impact on prolonged length of stay (LOS) after CA for AF.

methodsA retrospective cohort of patients that received CA for AF between 2018 and 2024 was developed from our single center NCDR registry. The analysis was restricted to non-Hispanic White (NHW) and non-Hispanic Black (NHB) patients due to small sample sizes for other groups. The association between race, sex, and prolonged LOS was evaluated using a multivariable stepwise regression model. A sensitivity analysis was performed with the composite outcome of complications given its sparsity. Causal mediation analysis was performed to assess whether race differences in prolonged LOS were mediated by complications.

resultsBetween 2018 and 2024, 3345 patients were included in the cohort. NHB patients were younger and more likely to have Medicaid insurance, higher BMI, higher comorbidity burden, history of atrial flutter, prolonged LOS, and complications after ablation. They were less likely to have prior CA. Female patients were older, less likely to have private insurance and prior CA, and more likely to have paroxysmal AF, transient ischemic attack, and chronic lung disease. NHB race [aOR 1.90 (95% CI: 1.24-2.88), p = 0.003] and a composite outcome of procedural complications [aOR 156 (95% CI: 72.5-377), p < 0.001], but not sex, were independently associated with prolonged LOS. The effect of race on prolonged LOS was partially mediated by higher comorbidity burden and obesity among NHB, but not by complications, Medicaid status, or AF type.

conclusionProlonged LOS was more frequent among NHB patients undergoing CA. The higher odds of prolonged LOS among NHB patients was not mediated by a higher incidence of complications, suggesting that other factors like comorbidity burden and social determinants of health (SDOH) are more significant contributors. Policies focused on improving comorbidity management and addressing sociocultural disparities may reduce prolonged hospitalizations after CA for AF.

Indexed as

Atrial FibrillationBlack or African AmericanCatheter AblationHealthcare DisparitiesLength of StayAgedComorbidityFemaleHumansMaleMiddle AgedPostoperative ComplicationsRegistriesRetrospective StudiesSex FactorsWhiteatrial fibrillationcatheter ablationgender disparitieshealth equityquality outcomesracial disparities

Identifiers

PMID40838366
PMCPMC12504919

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.