High Readmission Rates and Mental Distress 1 yr After Ablation for Atrial Fibrillation or Atrial Flutter: A NATIONWIDE SURVEY
Autor: | Lau Caspar Thygesen, Jesper Hastrup Svendsen, Ann-Dorthe Zwisler, Selina Kikkenborg Berg, Signe Stelling Risom |
---|---|
Rok vydání: | 2018 |
Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Time Factors Cross-sectional study medicine.medical_treatment Denmark Catheter ablation 030204 cardiovascular system & hematology Anxiety Patient Readmission 03 medical and health sciences Mental distress 0302 clinical medicine Quality of life Risk Factors Atrial Fibrillation medicine Humans atrial fibrillation Patient Reported Outcome Measures Postoperative Period Registries readmission business.industry Depression Rehabilitation Atrial fibrillation Middle Aged medicine.disease Comorbidity Survival Rate Cross-Sectional Studies atrial flutter 030228 respiratory system Atrial Flutter Population Surveillance Emergency medicine Catheter Ablation Female medicine.symptom Cardiology and Cardiovascular Medicine business Atrial flutter Follow-Up Studies |
Zdroj: | Risom, S S, Zwisler, A D, Thygesen, L C, Svendsen, J H & Berg, S K 2019, ' High Readmission Rates and Mental Distress 1 yr After Ablation for Atrial Fibrillation or Atrial Flutter : A NATIONWIDE SURVEY ', Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 39, no. 1, pp. 33-38 . https://doi.org/10.1097/HCR.0000000000000395 |
ISSN: | 1932-751X |
Popis: | PURPOSE: Today, catheter ablation is a widely used treatment for atrial fibrillation (AF) and atrial flutter (AFL). Knowledge on long-term patient-reported outcomes and readmissions is lacking and is warranted to plan optimal follow-up care. Objectives were to describe patient-reported outcomes including perceived health, quality of life, anxiety, depression, and physical activity compared with an age- and sex-matched reference population without longstanding disease; readmissions and mortality; and factors associated with suboptimal patient-reported outcomes. METHODS: A nationwide cross-sectional survey mailed to 627 adults 6 to 12 mo after ablation for AF or AFL including; Short Form-36 (SF-36), HeartQoL, Hospital Anxiety Depression Scale, and questions about physical activity. Readmission rates and mortality were obtained and regression analyses were performed. RESULTS: Comparing the patient group (response rate: 74%, n = 462) with an age- and sex-matched reference population with no long-lasting disease, differences were found in all subscales of SF-36 and leisure-time physical activity in favor of the reference group (P < .001). Within 1 yr, 411 patients (59%) were readmitted and the total number of readmissions was 1167. Altogether, 227 (33%) patients were electively readmitted and 330 (48%) were acutely readmitted. Ten patients (1.4%) died. Age > 59 yr, female sex, high comorbidity, and readmission were associated with low physical health, low perceived health, and low quality of life. CONCLUSIONS: Patients treated for AF or AFL experienced decreased mental and physical health and high readmission rates 6 to 12 mo following catheter ablation. Closer multidisciplinary follow-up or cardiac rehabilitation after ablation for AF or AFL may be needed. |
Databáze: | OpenAIRE |
Externí odkaz: |