{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:25:24Z","timestamp":1740137124510,"version":"3.37.3"},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,6,6]],"date-time":"2018-06-06T00:00:00Z","timestamp":1528243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Electrophysiologic (EP) and structural interventions in adult congenital heart disease (ACHD) are typically completed during separate hospital encounters. With planning\/coordination, these cases can be combined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We hypothesized that this integrated approach would yield patient and health system benefits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Consecutive ACHD patients undergoing combined interventions were matched to controls with identical but separate procedures. Primary endpoints of total hospital length of stay and cost were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010six combined cases and 120 controls were identified (45% male, mean age 36.2 \u00b1 14.2 years). The most common diagnoses were Fontan (27%), tetralogy of Fallot (23%), and transposition complexes (20%). The most common EP procedure was catheter ablation (n\u00a0=\u00a030) followed by electrophysiologic study (n\u00a0=\u00a013); the most common structural intervention was transcatheter valve replacement (n\u00a0=\u00a016) followed by angioplasty\/stenting (n\u00a0=\u00a014). Compared to controls, cases showed shorter anesthesia duration (323 [IQR 238\u2013405] vs. 355 minutes [270\u2013498], P\u00a0=\u00a00.06), smaller contrast dose (130 [50\u2013189] vs. 177\u00a0mL [94\u2013228], P\u00a0=\u00a00.045), fewer venipunctures (4 [3\u20134] vs. 6 [5\u20137], P\u00a0&lt;\u00a00.001), and fewer work days missed (2 [2\u20135] vs. 4 [4\u20136], P\u00a0&lt;\u00a00.001). There was shorter hospital stay (30 [19\u201335] vs. 38\u00a0hours [26\u201350], P\u00a0=\u00a00.023) and a 37% reduction in hospital charges ($117,894\u00a0vs. $187,648; P\u00a0=\u00a00.039) and 27% reduction in payments ($65,757\u00a0vs. $88,859; P\u00a0=\u00a00.016), persisting after adjustment for group differences. There were no significant differences in number of complications or efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There appear to be advantages to combining ACHD interventional procedures that include reductions in hospital length of stay and cost, without detectable difference in procedural outcome.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.13637","type":"journal-article","created":{"date-parts":[[2018,5,19]],"date-time":"2018-05-19T05:19:15Z","timestamp":1526707155000},"page":"1280-1286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Electrophysiology\u00a0and structural interventions in adults with congenital heart disease: Comparison of combined versus separate procedures"],"prefix":"10.1111","volume":"29","author":[{"given":"Ian","family":"Lindsay","sequence":"first","affiliation":[{"name":"Ahmanson\u2010UCLA Adult Congenital Heart Disease Center University of California at Los Angeles  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farnoosh","family":"Nik\u2010Ahd","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine University of California at Los Angeles  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamil A.","family":"Aboulhosn","sequence":"additional","affiliation":[{"name":"Ahmanson\u2010UCLA Adult Congenital Heart Disease Center University of California at Los Angeles  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3089-9005","authenticated-orcid":false,"given":"Jeremy P.","family":"Moore","sequence":"additional","affiliation":[{"name":"Ahmanson\u2010UCLA Adult Congenital Heart Disease Center University of California at Los Angeles  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,6,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.10.001"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.866319"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2014.09.002"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx200"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.113.000415"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.019307"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.115.002969"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12447"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-016-0712-2"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-015-0096-z"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2015.08.015"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12227"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.13047"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2006.10.054"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.09.045"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2014.05.016"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.014694"},{"key":"e_1_2_6_19_1","first-page":"1233","article-title":"Fernandez\u2010Aviles F: Risk factors for excess mortality in adults with congenital heart diseases","volume":"38","author":"Oliver JM","year":"2017","journal-title":"Eur Heart J"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.017202"}],"container-title":["Journal of Cardiovascular 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