Same-Day Discharge after Cryoballoon Ablation of Atrial Fibrillation: A Multicenter Experience
| Autor: | Hae W. Lim, Arash Aryana, Padraig Gearoid O’Neill, Laurence M Epstein, Jose R Salcido, Andre Gauri, Nagib Chalfoun, Rina Shah, Philippe Akhrass, Marcin Kowalski, Kendra M. Braegelmann, Soad Bekheit, Mark R. Bowers, Valay Parikh, Alfred Albano |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty medicine.medical_treatment Catheter ablation 030204 cardiovascular system & hematology Cryosurgery 03 medical and health sciences 0302 clinical medicine Hematoma Physiology (medical) Atrial Fibrillation Humans Medicine Mass index 030212 general & internal medicine Cryoballoon ablation Retrospective Studies Same day discharge business.industry Atrial fibrillation Hospital cost medicine.disease Patient Discharge Surgery Treatment Outcome Pulmonary Veins Catheter Ablation Cardiology and Cardiovascular Medicine business Complication |
| DOI: | 10.22541/au.159224887.78586052 |
| Popis: | BACKGROUND It is common practice to observe patients during an overnight stay (ONS) following a catheter ablation procedure for the treatment of atrial fibrillation (AF). OBJECTIVES To investigate the safety and economic impact of a same-day discharge (SDD) protocol after cryoballoon ablation for treatment of AF in high-volume, geographically diverse US hospitals. METHODS We retrospectively reviewed 2374 consecutive patients (1119 SDD and 1180 ONS) who underwent cryoballoon ablation for AF at three US centers. Baseline characteristics, acute procedure-related complications, and longer-term evaluations of safety were recorded during routine clinical follow-up. The mean cost of an ONS was used in a one-way sensitivity analysis to evaluate yearly cost savings as a function of the percentage of SDD cases per year. RESULTS The SDD and ONS cohorts were predominately male (69% vs. 67%; p = .3), but SDD patients were younger (64 ± 11 vs. 66 ± 10; p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|