Outcomes and predictors of readmission after implantation of a percutaneous left atrial appendage occlusion device in the United States: A propensity score-matched analysis from The National Readmission Database.
| Autor: | Pasupula DK; MercyOne North Iowa Medical Center, Mason City, Iowa, USA.; Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA., Munir MB; University of California San Diego Health, San Diego, California, USA., Bhat AG; Baystate Medical Center, Springfiled, Massachusetts, USA., Siddappa Malleshappa SK; Baystate Medical Center, Springfiled, Massachusetts, USA., Meera SJ; Cleveland Clinic, Cleveland, Ohio, USA., Spooner M; MercyOne North Iowa Medical Center, Mason City, Iowa, USA., Koranne K; MercyOne North Iowa Medical Center, Mason City, Iowa, USA., Olshansky B; University of Iowa, Iowa City, Iowa, USA., Hirji S; Brigham and Women's Hospital, Boston, Massachusetts, USA., Hsu JC; University of California San Diego Health, San Diego, California, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of cardiovascular electrophysiology [J Cardiovasc Electrophysiol] 2021 Nov; Vol. 32 (11), pp. 2961-2970. Date of Electronic Publication: 2021 Sep 21. |
| DOI: | 10.1111/jce.15247 |
| Abstrakt: | Background: Left atrial appendage occlusion (LAAO) devices have become a favorable alternative option among nonvalvular atrial fibrillation (AF) patients with long-term contraindication to anticoagulation. Real-world experience with postprocedural readmission rates and predictors of readmission in LAAO patients is limited. Objective: To assess all-cause 30-day readmission rate and predictors of readmission after LAAO procedure in the United States. Method: This retrospective observational study included all AF patients undergoing percutaneous LAAO procedures in the United States from January 1, 2016, and December 31, 2017, in the National Readmission Database. The primary outcome measure was all-cause 30-day readmission. A propensity score-matched analysis compared outcomes with a non-LAAO AF cohort. Result: Among 14 024 LAAO procedures (age: 76 ± 8 years; 60.5% males), 9.4% were readmitted within 30-days and, 0.2% died during their index hospitalization. The most frequent primary diagnosis during readmission among LAAO was gastrointestinal bleeding (12%). The incidence of LAAO procedures increased by 102%. In the multivariate model, gender and CHA Conclusion: The readmission rate following the LAAO procedure is substantial (approximately 10%), and largely attributable to gastrointestinal bleeding. Factors such as drug abuse and anemia must be explored further to minimize readmission risk. (© 2021 Wiley Periodicals LLC.) |
| Databáze: | MEDLINE |
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