Hospitalization Rates Following Catheter Ablation for Ventricular Tachycardia: Insights from the Nationwide Readmission Database 2010-2017

Atrial fibrillation ablation in heart failure patients: Where do we stand in 2023? – State of the art review

“…While the baseline all‐cause 90‐day readmission rates were greater in HF patients with AF (41.4%) than HF patients without AF (37.6%), p < 0.0001, HF patients undergoing ablation had a lower readmission rate (27.5%, vs. 41.4%, p < .001) and a shorter length of stay (5.58 days vs. 6.60 days, p = .031) when compared to patients undergoing medical treatment 65 . Furthermore, the decrease in hospitalization rates was greater in the HF/ablation group than in the HF/medical treatment group (27.5% 17.2%, p < .001) 66 . Therefore, the potential salutary clinical and fiscal benefits associated with AF ablation provide additional support for pursuing AF ablation in HF patients as value‐based healthcare (VBC) approaches become more commonly employed.…”

“…65 Furthermore, the decrease in hospitalization rates was greater in the HF/ablation group than in the HF/medical treatment group (27.5% 17.2%, p < .001). 66 Therefore, the potential salutary clinical and fiscal benefits associated with AF ablation provide additional support for pursuing AF ablation in HF patients as value-based healthcare (VBC) approaches become more commonly employed.…”

“…In a propensity‐matched comparison of HF patients undergoing AF ablation versus those treated medically, ablation was associated with an 11% reduction in the 30‐day hospitalization rate ( p = .020) among all HF patients 73 and a reduction in the 120‐day hospitalization rate of 25.2% in HFrEF patients and 28.5% in HFpEF patients ( p < 0001), 66 resulting in a 20% RR in total hospitalization costs after ablation 66 . Similarly, in the Optum database, AF ablation was associated with a 64% reduction in AF‐related admissions, a 65% reduction in LOS, a 52% reduction in the need for cardioversions, a 51% reduction in ER visits, and a 22% reduction in HF admissions resulting in an overall 36% reduction in costs ( p < .0001) 74 …”