In-hospital mortality of patients with atrial arrhythmias: insights from the German-wide Helios hospital network of 161 502 patients and 34 025 arrhythmia-related procedures

Abstract Aims Atrial fibrillation (AFib) and atrial flutter (AFlut) are common arrhythmias with increased use of invasive procedures. A steady re-evaluation of relevant safety endpoints is recommended and both quality management and pay-for-performance programs are evolving. Therefore, the aims of t...

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Veröffentlicht in:European heart journal 2018-11, Vol.39 (44), p.3947-3957
Hauptverfasser: König, Sebastian, Ueberham, Laura, Schuler, Ekkehard, Wiedemann, Michael, Reithmann, Christopher, Seyfarth, Melchior, Sause, Armin, Tebbenjohanns, Jürgen, Schade, Anja, Shin, Dong-In, Staudt, Alexander, Zacharzowsky, Udo, Andrié, René, Wetzel, Ulrike, Neuser, Hans, Wunderlich, Carsten, Kuhlen, Ralf, Tijssen, Jan G P, Hindricks, Gerhard, Bollmann, Andreas
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Sprache:eng
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Zusammenfassung:Abstract Aims Atrial fibrillation (AFib) and atrial flutter (AFlut) are common arrhythmias with increased use of invasive procedures. A steady re-evaluation of relevant safety endpoints is recommended and both quality management and pay-for-performance programs are evolving. Therefore, the aims of this study were (i) to investigate and report overall in-hospital mortality and mortality of invasive arrhythmia-related procedures and (ii) to identify mortality predictors in a German-wide hospital network. Methods and results Administrative data provided by 78 Helios hospitals between 2010 and 2017 were examined using International Statistical Classification of Diseases and Related Health Problems- and Operations and Procedures-codes to identify patients with AFib or AFlut as main discharge diagnosis or secondary diagnosis combined with invasive arrhythmia-related interventions. In 161 502 patients, in-hospital mortality was 0.6% with a significant decrease from 0.75% to 0.5% (P 
ISSN:0195-668X
1522-9645
DOI:10.1093/eurheartj/ehy528