TY - JOUR
T1 - Association Between Risk Factors and Readmission for Patients With Atrial Fibrillation Treated With Catheter Ablation
T2 - Results From the Nationwide DenHeart Study
AU - Risom, Signe Stelling
AU - Thygesen, Lau Caspar
AU - Rasmussen, Trine Bernholdt
AU - Borregaard, Britt
AU - Nørgaard, Marianne Wetendorff
AU - Mols, Rikke
AU - Christensen, Anne Vinggaard
AU - Thorup, Charlotte Brun
AU - Thrysoee, Lars
AU - Juel, Knud
AU - Ekholm, Ola
AU - Berg, Selina Kikkenborg
N1 - Funding Information:
The study was funded by University Hospital Rigshospitalet, Herlev-Gentofte University Hospital, Odense University Hospital, Aarhus University Hospital, Aalborg University Hospital, and the Novo Nordisk Foundation (grant number: 7229) and by Copenhagen University College, Denmark.
Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023
Y1 - 2023
N2 - BACKGROUND: Because of high readmission rates for patients treated with ablation for atrial fibrillation (AF), there is great value in nurses knowing which risk factors make the largest contribution to readmission.OBJECTIVE: The aims of this study were to (1) describe potential risk factors at discharge and (2) describe the associations of risk factors with readmission from 60 days to 1 year after discharge.METHODS: Data from a national cross-sectional survey exploring patient-reported outcomes were used in conjunction with data from national health registers. This study included patients who had an ablation for AF during a single calendar year. The Hospital Anxiety and Depression Scale and questions on risk factors were included. Sociodemographic and clinical data were collected through registers, and readmissions were examined at 1 year.RESULTS: In total, 929 of 1320 (response rate, 70%) eligible patients treated with ablation for AF completed the survey. One year after ablation, there were 333 (36%) acute readmissions for AF and 401 (43%) planned readmissions for AF. Readmissions were associated with ischemic heart disease, anxiety, and depression.CONCLUSION: High observed readmission rates were associated with risk factors that included anxiety and depression. Postablation care should address these risk factors.
AB - BACKGROUND: Because of high readmission rates for patients treated with ablation for atrial fibrillation (AF), there is great value in nurses knowing which risk factors make the largest contribution to readmission.OBJECTIVE: The aims of this study were to (1) describe potential risk factors at discharge and (2) describe the associations of risk factors with readmission from 60 days to 1 year after discharge.METHODS: Data from a national cross-sectional survey exploring patient-reported outcomes were used in conjunction with data from national health registers. This study included patients who had an ablation for AF during a single calendar year. The Hospital Anxiety and Depression Scale and questions on risk factors were included. Sociodemographic and clinical data were collected through registers, and readmissions were examined at 1 year.RESULTS: In total, 929 of 1320 (response rate, 70%) eligible patients treated with ablation for AF completed the survey. One year after ablation, there were 333 (36%) acute readmissions for AF and 401 (43%) planned readmissions for AF. Readmissions were associated with ischemic heart disease, anxiety, and depression.CONCLUSION: High observed readmission rates were associated with risk factors that included anxiety and depression. Postablation care should address these risk factors.
KW - anxiety
KW - atrial fibrillation
KW - depression
KW - patient-reported outcomes
KW - readmission
KW - risk factor
U2 - 10.1097/JCN.0000000000000900
DO - 10.1097/JCN.0000000000000900
M3 - Journal article
C2 - 35275884
SN - 0889-4655
VL - 38
SP - E31-E39
JO - The Journal of Cardiovascular Nursing
JF - The Journal of Cardiovascular Nursing
IS - 1
ER -