Key result
Same-day discharge shows similar 30-day rehospitalization rates to overnight admission after LAAO.
Why the study?
Information is evolving on the safety of same-day discharge after left atrial appendage occlusion procedures.
Does a same-day discharge strategy increase 30-day rehospitalization compared to overnight admission in patients undergoing LAAO?
Cohort (n=127)
No
Does a same-day discharge strategy increase 30-day rehospitalization compared to overnight admission in patients undergoing LAAO?
Absolute Event Rate: 7% vs 8.5%
p-value: p=0.73
A nonselective same-day discharge strategy after LAAO is feasible and does not increase 30-day rehospitalization rates compared to routine overnight observation.
Same-day LAAO discharge was associated with similar rehospitalization; hypothesis-generating and requires randomized trials before practice change.
Information is evolving on the safety of same-day discharge (SDD) after left atrial appendage occlusion (LAAO) procedures. This single-centre retrospective study evaluated the feasibility of SDD and reported on the 30-day rehospitalization rate in patients discharged same-day compared with those admitted overnight after LAAO. Key findings of this study included more than 85% of patients with LAAO were safely discharged same-day; the rate of postdischarge rehospitalization was similar in SDD patients and those admitted overnight; and approximately 1 in 10 patients who had LAAO procedures were rehospitalized within 30 days postprocedure.
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Kagal et al. (2023) conducted a cohort in Nonvalvular atrial fibrillation undergoing left atrial appendage occlusion (n=127). Same-day discharge vs. Overnight admission was evaluated on Rehospitalization within 30 days postprocedure (p=0.73). Same-day discharge after left atrial appendage occlusion resulted in a similar 30-day rehospitalization rate compared to overnight admission (7.0% vs 8.5%, P=0.73).
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