期刊
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY
卷 32, 期 2, 页码 183-190出版社
WILEY
DOI: 10.1111/jce.14843
关键词
atrial fibrillation; catheter ablation; cryoballoon; hospital discharge; same day discharge
A retrospective study of 2374 consecutive patients who underwent cryoballoon ablation for atrial fibrillation at three US hospitals found that same-day discharge (SDD) protocol is safe and cost-effective. SDD patients were younger, had lower body mass index and CHADS-VASc scores compared to overnight stay (ONS) patients, with no significant difference in 30-day total complication rate. Sensitivity analysis showed potential yearly cost savings when 50% of patients were discharged the same day.
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 < .0001) with lower body mass index (30 +/- 6 vs. 31 +/- 61; p < .0001) and CHA(2)DS(2)-VASc scores (1.4 +/- 1.0 vs. 2.2 +/- 1.4; p < .0002). There was no difference between SDD and ONS in the 30-day total complication rate (n = 15 [1.26%] versus n = 24 [2.03%]; p = .136, respectively). The most common complication was hematoma in both the SDD (n = 8; 0.67%) and ONS (n = 11; 0.93%) cohorts. Sensitivity analysis demonstrated that when 50% of every 100 patients treated were discharged the same day, hospital cost savings ranged from $45 825 to $83 813 per year across US hospitals. Conclusions SDD following cryoballoon ablation for AF appears to be safe and is associated with cost savings across different US hospitals.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据