TABLE 3.
Outpatient and inpatient atrial fibrillation ablation outcomes
| Outpatient AF ablation (N =
4,885) |
Inpatient AF ablation (N =
4,530) |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cost quintile |
Cost quintile |
|||||||||||
| 30-day complications | 1 | 2 | 3 | 4 | 5 | P value | 1 | 2 | 3 | 4 | 5 | P value |
| All cause rehospitalization | 16.1% | 11.4% | 9.1% | 8.7% | 8.8% | <0.0001 | 6.6% | 5.5% | 7.0% | 5.9% | 7.2% | 0.24 |
| Vascular complication | 2.1% | 1.2% | 1.2% | 0.4% | 1.2% | 0.05 | 3.8% | 3.4% | 3.4% | 4.4% | 5.9% | 0.009 |
| Hematoma/hemorrhage | 2.1% | 0.9% | 1.1% | 0.2% | 1.1% | 0.05 | 2.5% | 3.1% | 2.3% | 4.0% | 4.1% | 0.02 |
| Perforation/tamponade | 1.7% | 0.6% | 1.2% | 0.8% | 1.2% | 0.38 | 4.6% | 5.9% | 5.8% | 6.2% | 11.3% | <0.0001 |
| Stroke/TIA | 0.8% | 0.3% | 0.2% | 0.2% | 0.2% | 0.06 | 0.7% | 0.6% | 0.6% | 0.7% | 1.6% | 0.02 |
| Congestive heart failure | 1.3% | 0.9% | 0.6% | 0.6% | 0.5% | 0.03 | 1.3% | 0.3% | 0.3% | 0.3% | 0.8% | 0.25 |
| One-year rehospitalizations | ||||||||||||
| All cause rehospitalization | 34.8% | 29.7% | 26.4% | 25.0% | 25.6% | <0.0001 | 36.4% | 33.0% | 32.1% | 32.2% | 30.9% | 0.02 |
| Atrial fibrillation | 16.6% | 13.0% | 11.1% | 12.5% | 10.4% | 0.001 | 13.3% | 16.9% | 15.0% | 15.9% | 14.6% | 0.48 |
| Myocardial infarction/unstable angina | 1.0% | 0.9% | 0.9% | 0.6% | 1.3% | 0.28 | 1.2% | 0.9% | 1.7% | 1.4% | 1.3% | 0.23 |
| Congestive heart failure | 2.1% | 1.4% | 1.3% | 1.6% | 1.0% | 0.08 | 5.6% | 2.2% | 1.3% | 1.5% | 2.5% | 0.0005 |
| Supraventricular tachycardia | 0.0% | 0.5% | 0.1% | 0.5% | 0.2% | 0.37 | 0.3% | 0.5% | 0.3% | 0.4% | 0.3% | 0.34 |
| Ventricular arrhythmia | 1.2% | 1.2% | 0.9% | 1.6% | 0.6% | 0.19 | 0.8% | 0.8% | 1.0% | 1.4% | 1.3% | 0.08 |
| Stroke/TIA | 1.2% | 0.4% | 0.4% | 0.2% | 0.4% | 0.04 | 0.7% | 0.2% | 0.5% | 0.7% | 0.4% | 0.32 |
| Syncope | 0.4% | 0.1% | 0.2% | 0.2% | 0.1% | 0.2 | 0.0% | 0.2% | 0.1% | 0.7% | 0.3% | 0.02 |
| One-year repeat procedures | ||||||||||||
| Repeat AF ablation | 21.8% | 18.9% | 14.7% | 15.8% | 19.2% | 0.16 | 11.9% | 15.2% | 15.0% | 13.6% | 13.8% | 0.44 |
| Cardioversion | 21.2% | 20.6% | 20.4% | 20.8% | 22.5% | 0.19 | 23.5% | 24.7% | 18.7% | 21.9% | 18.8% | 0.002 |
AF = atrial fibrillation; TIA = transient ischemic attack.