Safety and feasibility of same-day discharge for catheter ablation of atrial fibrillation: a systematic review and meta-analysis.

Autor: Jafry, Ali Haider, Akhtar, Khawaja Hassan, Khan, Jehanzeb Ahmed, Clifton, Shari, Reese, Jessica, Sami, Khadija Noor, Khan, Muhammad Haris, Khan, Muhammad Shahzeb, Munir, Muhammad Bilal, Gopinathannair, Rakesh, Piccini, Jonathan P., Asad, Zain Ul Abideen
Zdroj: Journal of Interventional Cardiac Electrophysiology; Dec2022, Vol. 65 Issue 3, p803-811, 9p
Abstrakt: Purpose: Most centers performing catheter ablation (CA) of atrial fibrillation (AF) admit the patients for an overnight hospital stay to monitor for post-procedure complications, but the clinical benefits of this overnight hospital admission policy have not been carefully investigated. We hypothesized that same-day discharge strategy is safe and feasible in patients with AF undergoing CA. Methods: A systematic review of studies comparing the safety of same-day discharge vs hospital admission for AF patients undergoing CA was conducted in PubMed/MEDLINE, Embase, Scopus, and Web of Science. No randomized controlled trials met the inclusion criteria; therefore, observational cohort studies were included. Mantel–Haenszel risk ratios were calculated and I2 statistics were reported for heterogeneity assessment. Results: A total of 8 observational studies with 10,102 patients were included. There were no statistically significant differences between same-day discharge vs hospital admission in all studied outcomes including post-discharge 30-day hospital visits (RR: 0.90; 95% CI: 0.40–2.02; p = 0.81), post-discharge vascular/bleeding complications (RR: 0.93; 95% CI: 0.46–1.88; p = 0.85), post-discharge stroke/transient ischemic attack/thromboembolism (RR: 0.70; 95% CI: 0.23–2.20; p = 0.55), and post-discharge recurrent arrhythmias (RR: 0.81; 95% CI: 0.60–1.09; p = 0.1). Conclusion: In carefully selected AF patients undergoing CA, same-day discharge strategy is feasible and safe. There are no significant differences in post-discharge 30-day hospital visits, post-discharge vascular complications, and other safety outcomes. Randomized trials are needed to validate these hypothesis-generating findings. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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