1. Sex differences of resource utilisation and outcomes in patients with atrial arrhythmias and heart failure
- Author
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Gerhard Hindricks, Sebastian König, Anja Schade, Armin Sause, Rene Andrie, Udo Zacharzowsky, Andreas Bollmann, Melchior Seyfarth, Ulrike Wetzel, Michael Wiedemann, Ralf Kuhlen, D.-I. Shin, Hans Neuser, Sven Hohenstein, Christopher Reithmann, Carsten Wunderlich, Jürgen Tebbenjohanns, Laura Ueberham, Alexander Staudt, and Rene Mueller-Roething
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,Catheter ablation ,Cohort Studies ,Sex Factors ,Internal medicine ,Atrial Fibrillation ,Humans ,Medicine ,International Statistical Classification of Diseases and Related Health Problems ,In patient ,Aged ,Retrospective Studies ,Aged, 80 and over ,Heart Failure ,business.industry ,Retrospective cohort study ,Atrial fibrillation ,Middle Aged ,medicine.disease ,Treatment Outcome ,Atrial Flutter ,Heart failure ,Concomitant ,Catheter Ablation ,Health Resources ,Female ,Cardiology and Cardiovascular Medicine ,business ,Procedures and Techniques Utilization ,Atrial flutter - Abstract
ObjectiveAtrial fibrillation or atrial flutter (AF) and heart failure (HF) often go hand in hand and, in combination, lead to an increased risk of death compared with patients with just one of both entities. Sex-specific differences in patients with AF and HF are under-reported. Therefore, the aim of this study was to investigate sex-specific catheter ablation (CA) use and acute in-hospital outcomes in patients with AF and concomitant HF in a retrospective cohort study.MethodsUsing International Statistical Classification of Diseases and Related Health Problems and Operations and Procedures codes, administrative data of 75 hospitals from 2010 to 2018 were analysed to identify cases with AF and HF. Sex differences were compared for baseline characteristics, right and left atrial CA use, procedure-related adverse outcomes and in-hospital mortality.ResultsOf 54 645 analysed cases with AF and HF, 46.2% were women. Women were significantly older (75.4±9.5 vs 68.7±11.1 years, pConclusionsThere are sex differences in patients with AF and HF with respect to demographics, resource utilisation and in-hospital outcomes. This needs to be considered when treating women with AF and HF, especially for a sufficient patient informed decision making in clinical practice.
- Published
- 2019