scholarly journals B-PO03-076 A MACHINE LEARNING-DERIVED RECURRENCE RISK MODEL FOR ATRIAL FIBRILLATION AFTER CATHETER ABLATION

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S219-S220
Author(s):  
Fengwei Zou ◽  
Mark Brahier ◽  
Frank Migliarese ◽  
Xiaoyang Ma ◽  
Colin Wu ◽  
...  
2021 ◽  
Vol 77 (18) ◽  
pp. 331
Author(s):  
Anvi Raina ◽  
Shilpkumar Arora ◽  
Christopher DeSimone ◽  
Siva Mulpuru ◽  
Abhishek Deshmukh

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S475
Author(s):  
Praneet Mylavarapu ◽  
Omar Mahmoud Aldaas ◽  
Douglas Darden ◽  
Frederick T. Han ◽  
Kurt S. Hoffmayer ◽  
...  

2020 ◽  
Vol 36 (2) ◽  
pp. 297-303
Author(s):  
Koichi Furui ◽  
Itsuro Morishima ◽  
Yasuhiro Morita ◽  
Yasunori Kanzaki ◽  
Kensuke Takagi ◽  
...  

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S373
Author(s):  
Praneet Mylavarapu ◽  
Omar Mahmoud Aldaas ◽  
Douglas Darden ◽  
Frederick T. Han ◽  
Kurt S. Hoffmayer ◽  
...  

2020 ◽  
Vol 10 (3) ◽  
pp. 82
Author(s):  
Man Hung ◽  
Evelyn Lauren ◽  
Eric Hon ◽  
Julie Xu ◽  
Bianca Ruiz-Negrón ◽  
...  

Atrial fibrillation (AF) cases are expected to increase over the next several decades, due to the rise in the elderly population. One promising treatment option for AF is catheter ablation, which is increasing in use. We investigated the hospital readmissions data for AF patients undergoing catheter ablation, and used machine learning models to explore the risk factors behind these readmissions. We analyzed data from the 2013 Nationwide Readmissions Database on cases with AF, and determined the relative importance of factors in predicting 30-day readmissions for AF with catheter ablation. Various machine learning methods, such as k-nearest neighbors, decision tree, and support vector machine were utilized to develop predictive models with their accuracy, precision, sensitivity, specificity, and area under the curve computed and compared. We found that the most important variables in predicting 30-day hospital readmissions in patients with AF undergoing catheter ablation were the age of the patient, the total number of discharges from a hospital, and the number of diagnoses on the patient’s record, among others. Out of the methods used, k-nearest neighbor had the highest prediction accuracy of 85%, closely followed by decision tree, while support vector machine was less desirable for these data. Hospital readmissions for AF with catheter ablation can be predicted with relatively high accuracy, utilizing machine learning methods. As patient age, the total number of hospital discharges, and the total number of patient diagnoses increase, the risk of hospital readmissions increases.


2020 ◽  
Vol 7 ◽  
pp. 233339282096188
Author(s):  
Man Hung ◽  
Eric S. Hon ◽  
Evelyn Lauren ◽  
Julie Xu ◽  
Gary Judd ◽  
...  

Background: Atrial fibrillation (AF) in the elderly population is projected to increase over the next several decades. Catheter ablation shows promise as a treatment option and is becoming increasingly available. We examined 90-day hospital readmission for AF patients undergoing catheter ablation and utilized machine learning methods to explore the risk factors associated with these readmission trends. Methods: Data from the 2013 Nationwide Readmissions Database on AF cases were used to predict 90-day readmissions for AF with catheter ablation. Multiple machine learning methods such as k-Nearest Neighbors, Decision Tree, and Support Vector Machine were employed to determine variable importance and build risk prediction models. Accuracy, precision, sensitivity, specificity, and area under the curve were compared for each model. Results: The 90-day hospital readmission rate was 17.6%; the average age of the patients was 64.9 years; 62.9% of patients were male. Important variables in predicting 90-day hospital readmissions in patients with AF undergoing catheter ablation included the age of the patient, number of diagnoses on the patient’s record, and the total number of discharges from a hospital. The k-Nearest Neighbor had the best performance with a prediction accuracy of 85%. This was closely followed by Decision Tree, but Support Vector Machine was less ideal. Conclusions: Machine learning methods can produce accurate models in predicting hospital readmissions for patients with AF. The likelihood of readmission to the hospital increases as the patient age, total number of hospital discharges, and total number of patient diagnoses increase. Findings from this study can inform quality improvement in healthcare and in achieving patient-centered care.


Heart Asia ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. e011155
Author(s):  
Ka Hou Christien Li ◽  
Tian Sang ◽  
Cheng Chan ◽  
Mengqi Gong ◽  
Yingzhi Liu ◽  
...  

ObjectivesThis meta-analysis and systematic review seeks to compare both characteristic parameters and procedural outcomes of atrial fibrillation (AF) catheter ablation in patients under general anaesthesia (GA)/deep sedation and mild/moderate sedation.BackgroundCatheter ablation has become a widely applied intervention for treating symptomatic AF and arrhythmias that are refractory to medical therapy. It can be conducted through from mild sedation to GA.MethodsPubMed and Embase were searched up to July 2018 for randomised controlled trials, cohort and observational studies that assessed the outcomes of catheter ablation under GA/deep sedation or mild/moderate sedation. Nine studies were included in this meta-analysis after screening with the inclusion and exclusion criteria. Heterogeneity between studies and publication bias was evaluated by I2 index and Egger’s regression, respectively.ResultsOur meta-analysis found catheter AF ablation with GA/deep sedation to be associated with reduced risk of recurrence (RR: 0.79, 95% CI 0.56 to 1.13, p=0.20) and complications (RR: 0.95, 95% CI 0.64 to 1.42, p=0.82), though statistically insignificant. In terms of procedural parameters, there was no significant difference between the two groups for both procedural time (SMD: −0.13, 95% CI −0.90 to 0.63, p=0.74) and fluoroscopy time (SMD: −0.41, 95% CI −1.40 to 0.58, p=0.41). Univariate meta-regression did not reveal any covariates as a moderating factor for complication and recurrence risk.ConclusionApart from an increased likelihood of procedural success, ablation by GA/deep sedation was found to be non-significantly different from the mild/moderate sedation approach in both procedural parameters and outcome measures.


Sign in / Sign up

Export Citation Format

Share Document