Temporal Trends and Outcomes of Same-Day Discharge After Left Atrial Appendage Occlusion: Insight from National Readmission Database

On multivariate regression analysis, same-day discharge was associated with decreased total cost of hospitalization of (−$4,070, 95% confidence interval −6,810 to −1,330, p = 0.004), relative to late-discharge group. Later, a retrospective study from a single-center tertiary hospital from 2016 to 20...

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Bibliographic Details
Published in:The American journal of cardiology 2022-06, Vol.173, p.149-151
Main Authors: Maqsood, Muhammad Haisum, Khalil, Mahmoud, Maraey, Ahmed, Elzanaty, Ahmed M., Louka, Boshra, Elbadawi, Ayman, Ong, Kenneth, Megaly, Micheal, Garcia, Santiago
Format: Article
Language:English
Subjects:
Complications
Confidence intervals
COVID-19
Embolism
Environmental factors
Feasibility studies
Hospitalization
Occlusion
Patients
Regression analysis
Trends
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Summary:On multivariate regression analysis, same-day discharge was associated with decreased total cost of hospitalization of (−$4,070, 95% confidence interval −6,810 to −1,330, p = 0.004), relative to late-discharge group. Later, a retrospective study from a single-center tertiary hospital from 2016 to 2019 with same day versus delayed discharge on 72 versus 118 patients, respectively, without procedural complications have found no significant difference in a composite of stroke, systemic embolism, major bleeding, vascular complications, or procedure-related death.4 The present nationwide study confirmed the aforementioned results in a larger cohort, representative of the population in the United States with 621 patients in the same-day discharge group. Given the advanced age of patients who undergo LAAO, it is important to consider social and environmental factors of patients and their ability to identify and convey subjective symptoms of associated procedure-related complications in the decision for same day versus delayed discharge.
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2022.03.049