Journal
JOURNAL OF CARDIOVASCULAR NURSING
Volume 38, Issue 1, Pages E31-E39Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JCN.0000000000000900
Keywords
anxiety; atrial fibrillation; depression; patient-reported outcomes; readmission; risk factor
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This study aims to describe potential risk factors at discharge and their associations with readmission from 60 days to 1 year after discharge.
BackgroundBecause of high readmission rates for patients treated with ablation for atrial fibrillation (AF), there is great value in nurses knowing which risk factors make the largest contribution to readmission.ObjectiveThe aims of this study were to (1) describe potential risk factors at discharge and (2) describe the associations of risk factors with readmission from 60 days to 1 year after discharge.MethodsData from a national cross-sectional survey exploring patient-reported outcomes were used in conjunction with data from national health registers. This study included patients who had an ablation for AF during a single calendar year. The Hospital Anxiety and Depression Scale and questions on risk factors were included. Sociodemographic and clinical data were collected through registers, and readmissions were examined at 1 year.ResultsIn total, 929 of 1320 (response rate, 70%) eligible patients treated with ablation for AF completed the survey. One year after ablation, there were 333 (36%) acute readmissions for AF and 401 (43%) planned readmissions for AF. Readmissions were associated with ischemic heart disease, anxiety, and depression.ConclusionHigh observed readmission rates were associated with risk factors that included anxiety and depression. Postablation care should address these risk factors.
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