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
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