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July 3, 2026Journal of ArrhythmiaOpen Access

Predictors and Outcomes of 30‐Day Readmissions Following Electrical Cardioversion for Atrial Fibrillation: Insights From the Nationwide Readmissions Database

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Why the study?

What are the predictors and outcomes of 30-day readmission in adults undergoing electrical cardioversion for atrial fibrillation?

Population

134,114 adults with atrial fibrillation undergoing electrical cardioversion in the US. Readmitted patients…

Design

Cohort

Follow-up

30 days

Key result

Electrical cardioversion for atrial fibrillation was associated with a 9.9% 30-day readmission rate, with female sex, comorbidities, and lower income identified as independent predictors (p<0.001).

Authors

AJAdeena JamilMSMuhammad Umer SohailACAsad Ali Ahmed Cheema

Discussion

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Overview

Identifies readmission predictors after AF cardioversion; leaves open whether targeted interventions improve outcomes.

Key Points

  • This study aims to identify factors that predict 30-day readmissions after electrical cardioversion in patients with atrial fibrillation.
  • Retrospective observational cohort study using Nationwide Readmissions Database (2016–2017)
  • Identified adults with atrial fibrillation undergoing electrical cardioversion
  • Used multivariable logistic regression to evaluate predictors of readmission.
  • Among 134,114 AF hospitalizations treated with EC, 13,260 (9.9%) were readmitted within 30 days.
  • Independent predictors of readmission included female sex, Medicare/Medicaid coverage, chronic pulmonary disease, hypertension, diabetes, and heart failure (p < 0.001).
  • Higher median household income was correlated with lower readmission odds (p < 0.001).

Study Design

Type

Cohort (n=134,114)

Multicenter

Yes

Structured PICO

What are the predictors and outcomes of 30-day readmission in adults undergoing electrical cardioversion for atrial fibrillation?

P
Population
134,114 adult hospitalizations for atrial fibrillation managed with electrical cardioversion, evaluated for predictors of 30-day readmission.
E
Exposure
Electrical cardioversion
O
Outcome
30-day all-cause readmissionhard clinical

Nearly 10% of atrial fibrillation patients undergoing electrical cardioversion are readmitted within 30 days, driven largely by comorbidities and socioeconomic factors, highlighting the need for comprehensive post-discharge care.

Cite This Study

Jamil et al. (2026) conducted a cohort in Atrial Fibrillation (n=134,114). Electrical cardioversion was evaluated on 30-day all-cause readmission. Electrical cardioversion for atrial fibrillation was associated with a 9.9% 30-day readmission rate, with female sex, comorbidities, and lower income identified as independent predictors (p<0.001).

synapsesocial.com/papers/6a47540e5c29257aa2579f18https://doi.org/10.1002/joa3.70406
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

  1. 1Sex-related differences in presentation, treatment, and outcome of patients with atrial fibrillation in Europe: a report from the Euro Observational Research Programme Pilot survey on Atrial Fibrillation2014 · 225 citations