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Utilization and in‐hospital complications of catheter ablation for atrial fibrillation in patients with obesity and morbid obesity

BACKGROUND: Real‐world data on atrial fibrillation (AF) ablation outcomes in obese populations have remained scarce, especially the relationship between obesity and in‐hospital AF ablation outcome. HYPOTHESIS: Obesity is associated with higher complication rates and higher admission trend for AF abl...

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Autores principales: Prasitlumkum, Narut, Chokesuwattanaskul, Ronpichai, Kaewput, Wisit, Thongprayoon, Charat, Bathini, Tarun, Boonpheng, Boonphiphop, Vallabhajosyula, Saraschandra, Cheungpasitporn, Wisit, Jongnarangsin, Krit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9019886/
https://www.ncbi.nlm.nih.gov/pubmed/35170775
http://dx.doi.org/10.1002/clc.23795
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author Prasitlumkum, Narut
Chokesuwattanaskul, Ronpichai
Kaewput, Wisit
Thongprayoon, Charat
Bathini, Tarun
Boonpheng, Boonphiphop
Vallabhajosyula, Saraschandra
Cheungpasitporn, Wisit
Jongnarangsin, Krit
author_facet Prasitlumkum, Narut
Chokesuwattanaskul, Ronpichai
Kaewput, Wisit
Thongprayoon, Charat
Bathini, Tarun
Boonpheng, Boonphiphop
Vallabhajosyula, Saraschandra
Cheungpasitporn, Wisit
Jongnarangsin, Krit
author_sort Prasitlumkum, Narut
collection PubMed
description BACKGROUND: Real‐world data on atrial fibrillation (AF) ablation outcomes in obese populations have remained scarce, especially the relationship between obesity and in‐hospital AF ablation outcome. HYPOTHESIS: Obesity is associated with higher complication rates and higher admission trend for AF ablation. METHODS: We drew data from the US National Inpatient Sample to identify patients who underwent AF ablation between 2005 and 2018. Sociodemographic and patients' characteristics data were collected, and the trend, incidence of catheter ablation complications and mortality were analyzed, and further stratified by obesity classification. RESULTS: A total of 153 429 patients who were hospitalized for AF ablation were estimated. Among these, 11 876 obese patients (95% confidence interval [CI]: 11 422–12 330) and 10 635 morbid obese patients (95% CI: 10 200–11 069) were observed. There was a substantial uptrend admission, up to fivefold, for AF ablation in all obese patients from 2005 to 2018 (p < .001). Morbidly obese patients were statistically younger, while coexisting comorbidities were substantially higher than both obese and nonobese patients (p < .01) Both obesity and morbid obesity were significantly associated with an increased risk of total bleeding, and vascular complications (p < .05). Only morbid obesity was significantly associated with an increased risk of ablation‐related complications, total infection, and pulmonary complications (p < .01). No difference in‐hospital mortality was observed among obese, morbidly obese, and nonobese patients. CONCLUSION: Our study observed an uptrend in the admission of obese patients undergoing AF ablation from 2005 through 2018. Obesity was associated with higher ablation‐related complications, particularly those who were morbidly obese.
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spelling pubmed-90198862022-04-25 Utilization and in‐hospital complications of catheter ablation for atrial fibrillation in patients with obesity and morbid obesity Prasitlumkum, Narut Chokesuwattanaskul, Ronpichai Kaewput, Wisit Thongprayoon, Charat Bathini, Tarun Boonpheng, Boonphiphop Vallabhajosyula, Saraschandra Cheungpasitporn, Wisit Jongnarangsin, Krit Clin Cardiol Clinical Investigations BACKGROUND: Real‐world data on atrial fibrillation (AF) ablation outcomes in obese populations have remained scarce, especially the relationship between obesity and in‐hospital AF ablation outcome. HYPOTHESIS: Obesity is associated with higher complication rates and higher admission trend for AF ablation. METHODS: We drew data from the US National Inpatient Sample to identify patients who underwent AF ablation between 2005 and 2018. Sociodemographic and patients' characteristics data were collected, and the trend, incidence of catheter ablation complications and mortality were analyzed, and further stratified by obesity classification. RESULTS: A total of 153 429 patients who were hospitalized for AF ablation were estimated. Among these, 11 876 obese patients (95% confidence interval [CI]: 11 422–12 330) and 10 635 morbid obese patients (95% CI: 10 200–11 069) were observed. There was a substantial uptrend admission, up to fivefold, for AF ablation in all obese patients from 2005 to 2018 (p < .001). Morbidly obese patients were statistically younger, while coexisting comorbidities were substantially higher than both obese and nonobese patients (p < .01) Both obesity and morbid obesity were significantly associated with an increased risk of total bleeding, and vascular complications (p < .05). Only morbid obesity was significantly associated with an increased risk of ablation‐related complications, total infection, and pulmonary complications (p < .01). No difference in‐hospital mortality was observed among obese, morbidly obese, and nonobese patients. CONCLUSION: Our study observed an uptrend in the admission of obese patients undergoing AF ablation from 2005 through 2018. Obesity was associated with higher ablation‐related complications, particularly those who were morbidly obese. John Wiley and Sons Inc. 2022-02-16 /pmc/articles/PMC9019886/ /pubmed/35170775 http://dx.doi.org/10.1002/clc.23795 Text en © 2022 The Authors. Clinical Cardiology published by Wiley Periodicals, LLC. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Investigations
Prasitlumkum, Narut
Chokesuwattanaskul, Ronpichai
Kaewput, Wisit
Thongprayoon, Charat
Bathini, Tarun
Boonpheng, Boonphiphop
Vallabhajosyula, Saraschandra
Cheungpasitporn, Wisit
Jongnarangsin, Krit
Utilization and in‐hospital complications of catheter ablation for atrial fibrillation in patients with obesity and morbid obesity
title Utilization and in‐hospital complications of catheter ablation for atrial fibrillation in patients with obesity and morbid obesity
title_full Utilization and in‐hospital complications of catheter ablation for atrial fibrillation in patients with obesity and morbid obesity
title_fullStr Utilization and in‐hospital complications of catheter ablation for atrial fibrillation in patients with obesity and morbid obesity
title_full_unstemmed Utilization and in‐hospital complications of catheter ablation for atrial fibrillation in patients with obesity and morbid obesity
title_short Utilization and in‐hospital complications of catheter ablation for atrial fibrillation in patients with obesity and morbid obesity
title_sort utilization and in‐hospital complications of catheter ablation for atrial fibrillation in patients with obesity and morbid obesity
topic Clinical Investigations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9019886/
https://www.ncbi.nlm.nih.gov/pubmed/35170775
http://dx.doi.org/10.1002/clc.23795
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