{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:05:27Z","timestamp":1791295527872,"version":"4.1.0"},"reference-count":49,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Atrial Fibrillation (AF) affects 10.5\u2009million adults in the US and is projected to reach 12.1\u2009million by 2030, representing a growing burden. We evaluated predictors of 30\u2010day readmission after electrical cardioversion (EC) for AF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective observational cohort study using the Nationwide Readmissions Database (2016\u20132017), we identified adults with AF undergoing EC. Outcomes evaluated were 30\u2010day all\u2010cause readmission, in\u2010hospital mortality, length of stay (LOS) and inflation\u2010adjusted hospitalization charges. Multivariable logistic regression identified predictors of 30\u2010day readmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 134\u2009114 AF hospitalizations managed with EC, 13\u2009260 (9.9%) were readmitted within 30\u2009days. Readmitted patients (mean age 70, 51% male) had longer index stays (4 vs. 3\u2009days), higher charges ($31\u2009576 vs. $26\u2009896), and more frequent nonhome discharges (11% vs. 6.4%; all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Readmissions added $27\u2009994 in costs. In\u2010hospital mortality was higher during readmission (2.9% vs. 0.7%). Independent predictors included female sex, Medicaid or Medicare coverage, and chronic pulmonary disease, hypertension, diabetes and heart failure (HF) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Higher median household income was associated with lower odds of readmission (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nearly 1 in 10 AF patients treated with EC was readmitted within 30\u2009days. Female sex, comorbidity burden and lower socioeconomic status were key predictors. Improved post\u2010discharge care addressing comorbidities alongside rhythm management may reduce early readmissions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/joa3.70406","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T06:16:02Z","timestamp":1782886562000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors and Outcomes of 30\u2010Day Readmissions Following Electrical Cardioversion for Atrial Fibrillation: Insights From the Nationwide Readmissions Database"],"prefix":"10.1002","volume":"42","author":[{"given":"Adeena","family":"Jamil","sequence":"first","affiliation":[{"name":"Department of Medicine Dow International Medical College, Dow University of Health Sciences  Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0406-6878","authenticated-orcid":false,"given":"Muhammad Umer","family":"Sohail","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences  Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4664-591X","authenticated-orcid":false,"given":"Asad Ali Ahmed","family":"Cheema","sequence":"additional","affiliation":[{"name":"International School of Medicine, International University of Kyrgyzstan  Bishkek Kyrgyzstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8281-1189","authenticated-orcid":false,"given":"Syed Usama","family":"Ashraf","sequence":"additional","affiliation":[{"name":"Dow International Medical College  Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3972-1371","authenticated-orcid":false,"given":"Anushah Faheem","family":"Ilyas","sequence":"additional","affiliation":[{"name":"Department of Medicine Karachi Medical &amp; Dental College\/KMU  Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5176-1680","authenticated-orcid":false,"given":"Faizan","family":"Abbas","sequence":"additional","affiliation":[{"name":"Department of Medicine Fatima Memorial Hospital  Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaikh Jehanzaib","family":"Saeed","sequence":"additional","affiliation":[{"name":"Aga Khan University Hospital  Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6453-279X","authenticated-orcid":false,"given":"Mohammad Rayyan","family":"Faisal","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences  Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4824-4955","authenticated-orcid":false,"given":"Ahmad Murtaza","family":"Anwar","sequence":"additional","affiliation":[{"name":"Department of Medicine Mohtarma Benazir Bhutto Shaheed Medical College  Mirpur Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4420-8543","authenticated-orcid":false,"given":"Shanzey","family":"Rai","sequence":"additional","affiliation":[{"name":"Islamic International Medical College  Rawalpindi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syeda Unzila","family":"Tirmizi","sequence":"additional","affiliation":[{"name":"Shaheed Mohtarma Benazir Bhutto Medical College  Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Uzair","sequence":"additional","affiliation":[{"name":"Ziauddin Medical College  Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7144-4907","authenticated-orcid":false,"given":"Tooba","family":"Shahzad","sequence":"additional","affiliation":[{"name":"Sargodha Medical College  Sargodha Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2025.1585980"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2024.07.014"},{"issue":"1","key":"e_1_2_13_4_1","article-title":"Correction to: 2023 ACC\/AHA\/ACCP\/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"149","year":"2024","journal-title":"Circulation"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.119.013026"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.022388"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22276"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/8956020"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.7326\/M13-3000"},{"key":"e_1_2_13_10_1","volume-title":"Methods for Calculating Readmissions for HCUPnet","author":"Quality AfHRa","year":"2015"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.17653"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.116.004472"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040296"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001885"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2017.04.040"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.009294"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-018-0503-3"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euac181"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.14740\/cr1352"},{"issue":"4","key":"e_1_2_13_20_1","first-page":"386","article-title":"Early or Delayed Cardioversion in Recent\u2010Onset Atrial Fibrillation","volume":"381","author":"Vinson D. 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