Healthcare Utilization and Quality of Life Improvement after Ablation for Paroxysmal AF in Younger and Older Patients
Background Atrial fibrillation (AF) prevalence increases significantly with age. Little is known about the effect of AF ablation on quality of life and healthcare utilization in the elderly. The objective of this study was to quantify the healthcare utilization and quality of life benefits of cathet...
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| Veröffentlicht in: | Pacing and clinical electrophysiology 2017-04, Vol.40 (4), p.391-400 |
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| creator | BIVIANO, ANGELO B. HUNTER, TINA D. DANDAMUDI, GOPI FISHEL, ROBERT S. GIDNEY, BRETT HERWEG, BENGT OZA, SAUMIL R. PATEL, ANSHUL MAHENDRA WANG, HUIJIAN POLLAK, SCOTT J. |
| description | Background
Atrial fibrillation (AF) prevalence increases significantly with age. Little is known about the effect of AF ablation on quality of life and healthcare utilization in the elderly. The objective of this study was to quantify the healthcare utilization and quality of life benefits of catheter ablation for AF, for patients ≥65 years compared to patients |
| doi_str_mv | 10.1111/pace.13041 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1891884344</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1920537892</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4921-45c8955755e71065105887712843a827c651c22968f54008c525843c0f2bdae43</originalsourceid><addsrcrecordid>eNqN0U9rHCEYBnApCc02zSUfIAi5hMIk6uiOHpcl_2AhG2gOOYnrvpO4OONWZ5JuP32cTtpDDyVeBP354MuD0DEl5zSvi62xcE5LwuknNKGCk0JSofbQhFBeFbKU6gB9SWlDCJkSLj6jA5ZBhmKC-hswvnu2JgJ-6Jx3v0znQotNu8b3vfGu2-FQ44WrAd822xheoIG2w6buIOLZyo-8DhEvTQw_d6kxHs-usGvxY-jbp6yGrDu_hoF0Lr9OX9F-bXyCo_f9ED1cXX6f3xSLu-vb-WxRWK4YLbiwUglRCQEVJVNBiZCyqiiTvDSSVTYfWcbUVNZ5aiKtYCJfWVKz1doALw_R2ZibP_6jh9TpxiUL3psWQp80lYrK_IJ_hE6F4JIwlenpP3QT-tjmQTRVjIiykopl9W1UNoaUItR6G11j4k5Toofe9NCb_t1bxifvkf2qgfVf-qeoDOgIXp2H3X-i9HI2vxxD3wBHk5-r</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1920537892</pqid></control><display><type>article</type><title>Healthcare Utilization and Quality of Life Improvement after Ablation for Paroxysmal AF in Younger and Older Patients</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>BIVIANO, ANGELO B. ; HUNTER, TINA D. ; DANDAMUDI, GOPI ; FISHEL, ROBERT S. ; GIDNEY, BRETT ; HERWEG, BENGT ; OZA, SAUMIL R. ; PATEL, ANSHUL MAHENDRA ; WANG, HUIJIAN ; POLLAK, SCOTT J.</creator><creatorcontrib>BIVIANO, ANGELO B. ; HUNTER, TINA D. ; DANDAMUDI, GOPI ; FISHEL, ROBERT S. ; GIDNEY, BRETT ; HERWEG, BENGT ; OZA, SAUMIL R. ; PATEL, ANSHUL MAHENDRA ; WANG, HUIJIAN ; POLLAK, SCOTT J.</creatorcontrib><description>Background
Atrial fibrillation (AF) prevalence increases significantly with age. Little is known about the effect of AF ablation on quality of life and healthcare utilization in the elderly. The objective of this study was to quantify the healthcare utilization and quality of life benefits of catheter ablation for AF, for patients ≥65 years compared to patients <65 years.
Methods
Two multicenter U.S. registry studies enrolled patients with paroxysmal AF. Baseline characteristics and acute outcomes were collected for 736 patients receiving catheter ablation with the Navistar® ThermoCool® SF Catheter (Biosense Webster, Inc., Diamond Bar, CA, USA). Healthcare utilization and quality of life outcomes were collected through 1 year postablation for 508 patients.
Results
The rates of acute pulmonary vein isolation were high and similar between patients ≥65 years and <65 years (97.5% vs 95.8%, P = 0.2130). Length of stay for the index procedure was similar between age groups with 82.2% of the older group and 83.2% of the younger group having one‐day hospitalization. Disease‐specific quality of life instrument scores improved significantly and similarly for older and younger patients at 1 year postablation, compared to baseline. AF‐related hospitalizations and emergency department visits were similar or lower in older patients compared to younger patients, as reported at 1 year postablation.
Conclusion
For older patients undergoing catheter ablation for paroxysmal AF, healthcare utilization parameters were lower or not significantly different than for younger patients, and quality of life outcomes were similarly improved. These findings support the use of catheter ablation as a treatment option in older patients with paroxysmal AF.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/pace.13041</identifier><identifier>PMID: 28151545</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Age Distribution ; Aged ; Aged, 80 and over ; atrial fibrillation ; Atrial Fibrillation - epidemiology ; Atrial Fibrillation - psychology ; Atrial Fibrillation - surgery ; catheter ablation ; Catheter Ablation - psychology ; Catheter Ablation - utilization ; Catheters ; elderly ; Female ; Fibrillation ; Geriatrics ; Health Services Accessibility - statistics & numerical data ; Health services utilization ; healthcare utilization ; Humans ; Male ; Medicare ; Middle Aged ; Prevalence ; Quality of life ; Quality of Life - psychology ; Retrospective Studies ; Sex Distribution ; Treatment Outcome ; United States - epidemiology ; Utilization Review ; Young Adult</subject><ispartof>Pacing and clinical electrophysiology, 2017-04, Vol.40 (4), p.391-400</ispartof><rights>2017 The Authors. published by Wiley Periodicals, Inc.</rights><rights>2017 The Authors. Pacing and Clinical Electrophysiology published by Wiley Periodicals, Inc.</rights><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4921-45c8955755e71065105887712843a827c651c22968f54008c525843c0f2bdae43</citedby><cites>FETCH-LOGICAL-c4921-45c8955755e71065105887712843a827c651c22968f54008c525843c0f2bdae43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpace.13041$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpace.13041$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28151545$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BIVIANO, ANGELO B.</creatorcontrib><creatorcontrib>HUNTER, TINA D.</creatorcontrib><creatorcontrib>DANDAMUDI, GOPI</creatorcontrib><creatorcontrib>FISHEL, ROBERT S.</creatorcontrib><creatorcontrib>GIDNEY, BRETT</creatorcontrib><creatorcontrib>HERWEG, BENGT</creatorcontrib><creatorcontrib>OZA, SAUMIL R.</creatorcontrib><creatorcontrib>PATEL, ANSHUL MAHENDRA</creatorcontrib><creatorcontrib>WANG, HUIJIAN</creatorcontrib><creatorcontrib>POLLAK, SCOTT J.</creatorcontrib><title>Healthcare Utilization and Quality of Life Improvement after Ablation for Paroxysmal AF in Younger and Older Patients</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>Background
Atrial fibrillation (AF) prevalence increases significantly with age. Little is known about the effect of AF ablation on quality of life and healthcare utilization in the elderly. The objective of this study was to quantify the healthcare utilization and quality of life benefits of catheter ablation for AF, for patients ≥65 years compared to patients <65 years.
Methods
Two multicenter U.S. registry studies enrolled patients with paroxysmal AF. Baseline characteristics and acute outcomes were collected for 736 patients receiving catheter ablation with the Navistar® ThermoCool® SF Catheter (Biosense Webster, Inc., Diamond Bar, CA, USA). Healthcare utilization and quality of life outcomes were collected through 1 year postablation for 508 patients.
Results
The rates of acute pulmonary vein isolation were high and similar between patients ≥65 years and <65 years (97.5% vs 95.8%, P = 0.2130). Length of stay for the index procedure was similar between age groups with 82.2% of the older group and 83.2% of the younger group having one‐day hospitalization. Disease‐specific quality of life instrument scores improved significantly and similarly for older and younger patients at 1 year postablation, compared to baseline. AF‐related hospitalizations and emergency department visits were similar or lower in older patients compared to younger patients, as reported at 1 year postablation.
Conclusion
For older patients undergoing catheter ablation for paroxysmal AF, healthcare utilization parameters were lower or not significantly different than for younger patients, and quality of life outcomes were similarly improved. These findings support the use of catheter ablation as a treatment option in older patients with paroxysmal AF.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>atrial fibrillation</subject><subject>Atrial Fibrillation - epidemiology</subject><subject>Atrial Fibrillation - psychology</subject><subject>Atrial Fibrillation - surgery</subject><subject>catheter ablation</subject><subject>Catheter Ablation - psychology</subject><subject>Catheter Ablation - utilization</subject><subject>Catheters</subject><subject>elderly</subject><subject>Female</subject><subject>Fibrillation</subject><subject>Geriatrics</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Health services utilization</subject><subject>healthcare utilization</subject><subject>Humans</subject><subject>Male</subject><subject>Medicare</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Retrospective Studies</subject><subject>Sex Distribution</subject><subject>Treatment Outcome</subject><subject>United States - epidemiology</subject><subject>Utilization Review</subject><subject>Young Adult</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNqN0U9rHCEYBnApCc02zSUfIAi5hMIk6uiOHpcl_2AhG2gOOYnrvpO4OONWZ5JuP32cTtpDDyVeBP354MuD0DEl5zSvi62xcE5LwuknNKGCk0JSofbQhFBeFbKU6gB9SWlDCJkSLj6jA5ZBhmKC-hswvnu2JgJ-6Jx3v0znQotNu8b3vfGu2-FQ44WrAd822xheoIG2w6buIOLZyo-8DhEvTQw_d6kxHs-usGvxY-jbp6yGrDu_hoF0Lr9OX9F-bXyCo_f9ED1cXX6f3xSLu-vb-WxRWK4YLbiwUglRCQEVJVNBiZCyqiiTvDSSVTYfWcbUVNZ5aiKtYCJfWVKz1doALw_R2ZibP_6jh9TpxiUL3psWQp80lYrK_IJ_hE6F4JIwlenpP3QT-tjmQTRVjIiykopl9W1UNoaUItR6G11j4k5Toofe9NCb_t1bxifvkf2qgfVf-qeoDOgIXp2H3X-i9HI2vxxD3wBHk5-r</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>BIVIANO, ANGELO B.</creator><creator>HUNTER, TINA D.</creator><creator>DANDAMUDI, GOPI</creator><creator>FISHEL, ROBERT S.</creator><creator>GIDNEY, BRETT</creator><creator>HERWEG, BENGT</creator><creator>OZA, SAUMIL R.</creator><creator>PATEL, ANSHUL MAHENDRA</creator><creator>WANG, HUIJIAN</creator><creator>POLLAK, SCOTT J.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201704</creationdate><title>Healthcare Utilization and Quality of Life Improvement after Ablation for Paroxysmal AF in Younger and Older Patients</title><author>BIVIANO, ANGELO B. ; HUNTER, TINA D. ; DANDAMUDI, GOPI ; FISHEL, ROBERT S. ; GIDNEY, BRETT ; HERWEG, BENGT ; OZA, SAUMIL R. ; PATEL, ANSHUL MAHENDRA ; WANG, HUIJIAN ; POLLAK, SCOTT J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4921-45c8955755e71065105887712843a827c651c22968f54008c525843c0f2bdae43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>atrial fibrillation</topic><topic>Atrial Fibrillation - epidemiology</topic><topic>Atrial Fibrillation - psychology</topic><topic>Atrial Fibrillation - surgery</topic><topic>catheter ablation</topic><topic>Catheter Ablation - psychology</topic><topic>Catheter Ablation - utilization</topic><topic>Catheters</topic><topic>elderly</topic><topic>Female</topic><topic>Fibrillation</topic><topic>Geriatrics</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Health services utilization</topic><topic>healthcare utilization</topic><topic>Humans</topic><topic>Male</topic><topic>Medicare</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Retrospective Studies</topic><topic>Sex Distribution</topic><topic>Treatment Outcome</topic><topic>United States - epidemiology</topic><topic>Utilization Review</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BIVIANO, ANGELO B.</creatorcontrib><creatorcontrib>HUNTER, TINA D.</creatorcontrib><creatorcontrib>DANDAMUDI, GOPI</creatorcontrib><creatorcontrib>FISHEL, ROBERT S.</creatorcontrib><creatorcontrib>GIDNEY, BRETT</creatorcontrib><creatorcontrib>HERWEG, BENGT</creatorcontrib><creatorcontrib>OZA, SAUMIL R.</creatorcontrib><creatorcontrib>PATEL, ANSHUL MAHENDRA</creatorcontrib><creatorcontrib>WANG, HUIJIAN</creatorcontrib><creatorcontrib>POLLAK, SCOTT J.</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BIVIANO, ANGELO B.</au><au>HUNTER, TINA D.</au><au>DANDAMUDI, GOPI</au><au>FISHEL, ROBERT S.</au><au>GIDNEY, BRETT</au><au>HERWEG, BENGT</au><au>OZA, SAUMIL R.</au><au>PATEL, ANSHUL MAHENDRA</au><au>WANG, HUIJIAN</au><au>POLLAK, SCOTT J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healthcare Utilization and Quality of Life Improvement after Ablation for Paroxysmal AF in Younger and Older Patients</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2017-04</date><risdate>2017</risdate><volume>40</volume><issue>4</issue><spage>391</spage><epage>400</epage><pages>391-400</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>Background
Atrial fibrillation (AF) prevalence increases significantly with age. Little is known about the effect of AF ablation on quality of life and healthcare utilization in the elderly. The objective of this study was to quantify the healthcare utilization and quality of life benefits of catheter ablation for AF, for patients ≥65 years compared to patients <65 years.
Methods
Two multicenter U.S. registry studies enrolled patients with paroxysmal AF. Baseline characteristics and acute outcomes were collected for 736 patients receiving catheter ablation with the Navistar® ThermoCool® SF Catheter (Biosense Webster, Inc., Diamond Bar, CA, USA). Healthcare utilization and quality of life outcomes were collected through 1 year postablation for 508 patients.
Results
The rates of acute pulmonary vein isolation were high and similar between patients ≥65 years and <65 years (97.5% vs 95.8%, P = 0.2130). Length of stay for the index procedure was similar between age groups with 82.2% of the older group and 83.2% of the younger group having one‐day hospitalization. Disease‐specific quality of life instrument scores improved significantly and similarly for older and younger patients at 1 year postablation, compared to baseline. AF‐related hospitalizations and emergency department visits were similar or lower in older patients compared to younger patients, as reported at 1 year postablation.
Conclusion
For older patients undergoing catheter ablation for paroxysmal AF, healthcare utilization parameters were lower or not significantly different than for younger patients, and quality of life outcomes were similarly improved. These findings support the use of catheter ablation as a treatment option in older patients with paroxysmal AF.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28151545</pmid><doi>10.1111/pace.13041</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Pacing and clinical electrophysiology, 2017-04, Vol.40 (4), p.391-400 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Age Distribution Aged Aged, 80 and over atrial fibrillation Atrial Fibrillation - epidemiology Atrial Fibrillation - psychology Atrial Fibrillation - surgery catheter ablation Catheter Ablation - psychology Catheter Ablation - utilization Catheters elderly Female Fibrillation Geriatrics Health Services Accessibility - statistics & numerical data Health services utilization healthcare utilization Humans Male Medicare Middle Aged Prevalence Quality of life Quality of Life - psychology Retrospective Studies Sex Distribution Treatment Outcome United States - epidemiology Utilization Review Young Adult |
| title | Healthcare Utilization and Quality of Life Improvement after Ablation for Paroxysmal AF in Younger and Older Patients |
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