典型文献
Trends and sex differences in atrial fibrillation hospitalization and catheter ablation at tertiary hospitals in China from 2013 to 2016
文献摘要：
BACKGROUND Catheter ablation for atrial fibrillation (AF) is commonly performed worldwide. However, the clinical charac-teristics of hospitalized patients with AF and national trends in catheter ablation at tertiary hospitals in China remain unreported. METHODS This study used the Chinese national database (Hospital Quality Monitoring System) from 2013 to 2016, which is a mandatory database that collects the front page of patients' medical records for hospital accreditation, to describe the clinical cha-racteristics of patients with AF as an overall cohort and as subgroups divided by catheter ablation and sex. RESULTS Of 597,919 AF patients first admitted, 57,983 patients underwent catheter ablation [56,384 cases (97.2％) of radiofre-quency ablation and 1599 cases (2.8％) of cryoablation] at 746 tertiary hospitals. Nearly 10％ of patients hospitalized with AF at ter-tiary hospitals in China underwent catheter ablation, and the percentage of patients undergoing catheter ablation was on the rise bet-ween 2013 and 2016, and the number of cases increased by 2.5 times. Compared with AF patients who did not undergo catheter ablation, those who did were younger, more frequently male, and had fewer baseline comorbidities. Although the overall CHA2DS2-VASc score revealed over half of the patients were high-risk, patients who underwent catheter ablation were mostly low-risk (71.2％ of males and 59.1％ of females). Considering in-hospital adverse events, the overall pericardial tamponade and all-cause death incidences were 0.2％ (0.6％ in the ablation group) and 1.2％ (0.1％ in the ablation group), respectively; both of which were higher in females than males. CONCLUSIONS In this study, AF patients who underwent catheter ablation were relatively young, had a low thrombosis risk, and had few comorbidities and adverse events. Females were older and experienced more complications than males.
文献关键词：
中图分类号：
作者姓名：
Kang LI;Fang-Fang FAN;Peng-Fei SUN;Jie JIANG;Jing ZHOU;Ying SHI;Hai-Bo WANG;Jian-Ping LI;Yan ZHANG;Yong HUO
作者机构：
Department of Cardiology,Peking University First Hospital,Beijing,China;Scientific Project Department,China Standard Medical Information Research Centre,Shenzhen,China;Clinical Trial Unit,the First Affiliated Hospital of Sun Yat-Sen University,Guangzhou,China
文献出处：
引用格式：
[1]Kang LI;Fang-Fang FAN;Peng-Fei SUN;Jie JIANG;Jing ZHOU;Ying SHI;Hai-Bo WANG;Jian-Ping LI;Yan ZHANG;Yong HUO-.Trends and sex differences in atrial fibrillation hospitalization and catheter ablation at tertiary hospitals in China from 2013 to 2016)[J].老年心脏病学杂志（英文版）,2022(04):292-300
A类：
racteristics,radiofre,tiary,ween
B类：
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AB值：
0.464628
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