Comprehensive analysis of same day discharge after atrial fibrillation ablation: Clinical, cost, and patient reported outcomes

Background Same day discharge (SDD) following atrial fibrillation (AF) ablation procedure has emerged as routine practice, and primarily driven by operator discretion. However, the impacts of SDD on clinical outcomes, healthcare system costs, and patient reported outcomes (PROs) have not been system...

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Bibliographic Details
Published in:Journal of cardiovascular electrophysiology 2024-08, Vol.35 (8), p.1570-1578
Main Authors: Zenger, Brian, Torre, Michael, Zhang, Yue, Boo, Leeming, Jamshidian, Farid, Young, Jeff, Bunch, Thomas J., Steinberg, Benjamin A.
Format: Article
Language:English
Subjects:
Ablation
Aged
Ambulatory Surgical Procedures - adverse effects
Ambulatory Surgical Procedures - economics
atrial fibrillation
Atrial Fibrillation - diagnosis
Atrial Fibrillation - economics
Atrial Fibrillation - physiopathology
Atrial Fibrillation - surgery
atrial fibrillation ablation
Cardiac arrhythmia
Catheter Ablation - adverse effects
Catheter Ablation - economics
Clinical outcomes
Cost-Benefit Analysis
Female
Fibrillation
Health care
healthcare costs
healthcare utilization
Hospital Costs
Humans
Length of Stay - economics
Male
Middle Aged
Patient Discharge - economics
Patient Reported Outcome Measures
patient reported outcomes
Patients
Retrospective Studies
Risk Factors
same day discharge
Time Factors
Treatment Outcome
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Summary:Background Same day discharge (SDD) following atrial fibrillation (AF) ablation procedure has emerged as routine practice, and primarily driven by operator discretion. However, the impacts of SDD on clinical outcomes, healthcare system costs, and patient reported outcomes (PROs) have not been systematically studied. Methods We retrospectively analyzed patients undergoing routine AF ablation procedures with SDD versus overnight observation (NSDD). After propensity adjustment we compared postprocedure adverse events (AEs), healthcare system costs, and changes in PROs. Results We identified 310 cases, with 159 undergoing SDD and 151 staying at least one midnight in the hospital (NSDD). Compared with NSDD, SDD patients were similar age (mean 64 vs. 66, p = 0.3), sex (26% female vs. 27%, p = 0.8), and with lower mean CHADS2‐VA2Sc scores (2.0 vs. 2.7; p 
ISSN:1045-3873
1540-8167
1540-8167
DOI:10.1111/jce.16331