Socioeconomic status and trends in utilization of catheter ablation in patients hospitalized with atrial fibrillation in united states
Abstract Introduction Atrial fibrillation (AF) is the most common arrhythmia encountered in a hospital setting. However, there is little data on the relationship of socioeconomic status (SES) and the utilization of catheter ablation amongst patients admitted with AF. Methods The National Inpatient S...
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Published in | European heart journal Vol. 42; no. Supplement_1 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
12.10.2021
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Online Access | Get full text |
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Summary: | Abstract
Introduction
Atrial fibrillation (AF) is the most common arrhythmia encountered in a hospital setting. However, there is little data on the relationship of socioeconomic status (SES) and the utilization of catheter ablation amongst patients admitted with AF.
Methods
The National Inpatient Sample database was queried from 2003 to 2014 using ICD 9 revised diagnosis codes to identify patients who were hospitalized with a primary diagnosis of AF. SES was determined by median household income (MHI) and divided into quartiles (0–25th, 26–50th, 51–75th, and 76–100th). Trends were analyzed using Cochran Armitage test.
Results
We analyzed 3,618,133 patients with AF that were admitted from 2003 to 2014 (median age: 72 [IQR 61 – 81], female 52.6%). Trends stratified by MHI to compare catheter ablation rates of all 12 years revealed significant differences (Figure 1). A multivariable logistic regression accounting for sociodemographic factors revealed an increasing trend of catheter ablation utilization with higher MHI (Figure 1).
Conclusion
Over a 12-year period, patients admitted to the hospital with AF with higher MHI were found to have increasing rates of catheter ablation utilization due to AF. Conversely, a decline in catheter ablation rates were noted in patients with lower MHI.
Funding Acknowledgement
Type of funding sources: None. |
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ISSN: | 0195-668X 1522-9645 |
DOI: | 10.1093/eurheartj/ehab724.0539 |