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The primary endpoint was any procedure-related complications up to 30-days post-discharge. Logistic regression was used to evaluate the association between treatment at a public hospital and risk of complications adjusting for covariates.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Private hospitals performed most of the 21,654 AF ablations identified (<jats:italic>n<\/jats:italic>\u2009=\u200916,992, 78.5\u2009%), on patients who were older (63.5 vs. 59.9y) but had lower rates of heart failure (7.9\u2009% vs. 10.4\u2009%), diabetes (10.2\u2009% vs. 14.1\u2009%), and chronic kidney diseases (2.4\u2009% vs. 5.2\u2009%) (all <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) than those treated in public hospitals. When compared with private hospitals, public hospitals had a higher crude rate of complications (7.25\u2009% vs. 4.70\u2009%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). This difference remained significant after adjustment (OR 1.74 [95\u2009% CI 1.54\u20132.04]) and it occurred with both in-hospital (OR 1.83 [1.57\u20132.14]) and post-discharge (OR 1.39 [1.06\u20131.83]) complications, with certain complications including acute kidney injury (OR 5.31 [3.02\u20139.36]), cardiac surgery (OR 5.18 [2.19\u201312.27]), and pericardial effusion (OR 2.18 [1.50\u20133.16]).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Private hospitals performed most of AF ablations in Australia with a lower rate of complications when compared with public hospitals. Further investigations are needed to identify the precise mechanisms of this observed difference.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12913-021-06874-7","type":"journal-article","created":{"date-parts":[[2021,8,28]],"date-time":"2021-08-28T04:02:48Z","timestamp":1630123368000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Utilisation and safety of catheter ablation of atrial fibrillation in public and private sector hospitals"],"prefix":"10.1186","volume":"21","author":[{"given":"Linh","family":"Ngo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Ganesan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J","family":"Woodman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Adams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isuru","family":"Ranasinghe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,8,28]]},"reference":[{"issue":"8","key":"6874_CR1","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1161\/CIRCULATIONAHA.113.005119","volume":"129","author":"SS Chugh","year":"2014","unstructured":"Chugh SS, Havmoeller R, Narayanan K, Singh D, Rienstra M, Benjamin EJ, et al. 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Specifically, ethical approval was granted by the New South Wales Population & Health Services Research Ethics Committee (reference number 2015\/06\/591), West Australian Department of Health Heath Research Ethics Committee (HREC) (reference number 2016\/47). Data were obtained from Queensland via the Public Health Act Approval and from Victoria via the Mutual Acceptance of the New South Wales HREC approval.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Dr. Linh Ngo was supported by The Hospital Research Foundation Postgraduate Scholarship during the course of this study. She is currently supported by a Research Training Program Scholarship from The University of Queensland. Dr. Anna Ali is supported by a Divisional Scholarship from The University of Adelaide. A\/Prof Anand Ganesan and A\/Prof Isuru Ranasinghe are supported by National Heart Foundation of Australia Future Leader Fellowships (IDs 101188 and 101186, respectively). The remaining authors have no disclosures.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"883"}}