ArticleJournal of the American Heart Association2025
Impact of Hospital Teaching Status on Atrial Fibrillation Ablation Procedural Approaches and Complications: Insights From the National Cardiovascular Data Registry.
Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundInstitutional characteristics can affect atrial fibrillation (AF) catheter ablation procedural outcomes. Although hospital teaching status may affect patient care in other settings, its effect on AF ablation is unknown. We sought to determine variations in procedural characteristics and complications according to hospital teaching status.
methodsWe included all adult patients in the prospective National Cardiovascular Data Registry AFib Ablation Registry. Hospitals were categorized as university hospitals, nonuniversity teaching hospitals, and nonteaching hospitals. Associations were analyzed using adjusted logistic regression models.
resultsA total of 212 327 AF ablations (mean age of patients, 67.0±10.3 years, 35.5% female) were performed between January 2016 and June 2024. University hospitals performed the fewest cryoablations (unadjusted proportions: 14.4% versus 29.9% at nonuniversity teaching hospitals and 16.9% at nonteaching hospitals,
conclusionsAfter adjustment for patient characteristics and procedural data, AF ablation procedural approaches differ by hospital teaching status. Overall complication rates are low with no differences between hospitals by teaching status.
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