TY - JOUR

T1 - High Readmission Rates and Mental Distress 1 yr After Ablation for Atrial Fibrillation or Atrial Flutter

T2 - A Nationwide Survey

AU - Risom, Signe Stelling

AU - Zwisler, Ann-Dorthe

AU - Thygesen, Lau Caspar

AU - Svendsen, Jesper Hastrup

AU - Berg, Selina Kikkenborg

PY - 2019

Y1 - 2019

N2 - 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.

AB - 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.

KW - Anxiety/epidemiology

KW - Atrial Fibrillation/complications

KW - Atrial Flutter/complications

KW - Catheter Ablation

KW - Cross-Sectional Studies

KW - Denmark/epidemiology

KW - Depression/epidemiology

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Middle Aged

KW - Patient Readmission/trends

KW - Patient Reported Outcome Measures

KW - Population Surveillance

KW - Postoperative Period

KW - Registries

KW - Risk Factors

KW - Survival Rate/trends

KW - Time Factors

U2 - 10.1097/HCR.0000000000000395

DO - 10.1097/HCR.0000000000000395

M3 - Journal article

C2 - 30586112

VL - 39

SP - 33

EP - 38

JO - Journal of Cardiopulmonary Rehabilitation and Prevention

JF - Journal of Cardiopulmonary Rehabilitation and Prevention

SN - 1932-7501

IS - 1

ER -