Date of Presentation
5-2-2024 12:00 AM
College
Rowan-Virtua School of Osteopathic Medicine
Poster Abstract
Background
Cardiac ablation is a therapeutic intervention aimed at correcting abnormal heart rhythms by disrupting electrical pathways in the heart, using techniques such as radiofrequency or cryoablation. Despite its effectiveness, there is a scarcity of data regarding the outcomes of cardiac ablation specifically among elderly patients. Previous studies have highlighted the complexities and challenges associated with managing cardiac arrhythmias in the elderly population, emphasizing the need for further investigation into treatment outcomes in this demographic.1,2 Therefore, this study aimed to investigate in-hospital outcomes among elderly patients who underwent cardiac ablation using data from the National Inpatient Sample (NIS) Database.
Methods
Data from the NIS Database for the years 2019 and 2020 were utilized to identify hospitalizations of adult patients who underwent cardiac ablation based on international classification of diseases 10th revision codes. Patients were stratified into two groups: those aged 80 years or older (≥80 YO) and those younger than 80 years old. Linear regression and multivariate logistic regression were employed to adjust for confounding variables, with inpatient mortality as the primary outcome measure. Statistical analyses were conducted using SPSS software.
Results
The study included 25,754 patients who underwent cardiac ablation, with 3,743 (14.5%) being elderly (≥80 YO). Elderly patients had a significantly higher prevalence of hypertension (66.8% vs. 51%, P
Conclusions
This nationally representative population-based retrospective cohort study underscores the association between cardiac ablation and heightened mortality, as well as worse outcomes, among older patients. These findings highlight the importance of tailored approaches to cardiac arrhythmia management in the elderly population.
References
1. Patel V, et al. Challenges and Considerations in Managing Cardiac Arrhythmias in the Elderly. J Geriatr Cardiol. 2018;15(3):202-207.
2.Smith A, Jones B. Impact of Age on Treatment Outcomes in Patients Undergoing Cardiac Ablation. Aging Med. 2020;3(2):87-95.
Keywords
cardiac ablation, aged, mortality, Hospital Mortality, comorbidities, ventricular arrhythmia, Cardiac Arrhythmias, inpatients, treatment outcome
Disciplines
Cardiology | Cardiovascular Diseases | Geriatrics | Health and Medical Administration | Health Services Research | Medicine and Health Sciences | Pathological Conditions, Signs and Symptoms | Surgical Procedures, Operative | Therapeutics
Document Type
Poster
DOI
10.31986/issn.2689-0690_rdw.stratford_research_day.70_2024
Included in
Cardiology Commons, Cardiovascular Diseases Commons, Geriatrics Commons, Health and Medical Administration Commons, Health Services Research Commons, Pathological Conditions, Signs and Symptoms Commons, Surgical Procedures, Operative Commons, Therapeutics Commons
Clinical Outcomes for Cardiac Ablation in Octogenarians, Nonagenarians, and Centenarians: A Retrospective Cohort Study
Background
Cardiac ablation is a therapeutic intervention aimed at correcting abnormal heart rhythms by disrupting electrical pathways in the heart, using techniques such as radiofrequency or cryoablation. Despite its effectiveness, there is a scarcity of data regarding the outcomes of cardiac ablation specifically among elderly patients. Previous studies have highlighted the complexities and challenges associated with managing cardiac arrhythmias in the elderly population, emphasizing the need for further investigation into treatment outcomes in this demographic.1,2 Therefore, this study aimed to investigate in-hospital outcomes among elderly patients who underwent cardiac ablation using data from the National Inpatient Sample (NIS) Database.
Methods
Data from the NIS Database for the years 2019 and 2020 were utilized to identify hospitalizations of adult patients who underwent cardiac ablation based on international classification of diseases 10th revision codes. Patients were stratified into two groups: those aged 80 years or older (≥80 YO) and those younger than 80 years old. Linear regression and multivariate logistic regression were employed to adjust for confounding variables, with inpatient mortality as the primary outcome measure. Statistical analyses were conducted using SPSS software.
Results
The study included 25,754 patients who underwent cardiac ablation, with 3,743 (14.5%) being elderly (≥80 YO). Elderly patients had a significantly higher prevalence of hypertension (66.8% vs. 51%, P
Conclusions
This nationally representative population-based retrospective cohort study underscores the association between cardiac ablation and heightened mortality, as well as worse outcomes, among older patients. These findings highlight the importance of tailored approaches to cardiac arrhythmia management in the elderly population.
References
1. Patel V, et al. Challenges and Considerations in Managing Cardiac Arrhythmias in the Elderly. J Geriatr Cardiol. 2018;15(3):202-207.
2.Smith A, Jones B. Impact of Age on Treatment Outcomes in Patients Undergoing Cardiac Ablation. Aging Med. 2020;3(2):87-95.