September 18, 2021Journal of Cardiovascular Electrophysiology
Low incidence of major complications after the first six hours post atrial fibrillation ablation: Is same‐day discharge safe and feasible in most patients?
Why the study?
The study evaluated procedural complications after catheter ablation of AF to assess the potential feasibility and safety of same-day discharge.
Is same-day discharge safe and feasible for most patients undergoing catheter ablation of atrial fibrillation?
Population
5414 AF ablations staying overnight after the procedure at a tertiary center
Comparison
Complications intraprocedurally to 6 h postablation vs between 6 h and next-day discharge
Design
Cohort analysis of prospectively collected data
Follow-up
Discharge the day after the ablation procedure
Authors
Discussion
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Member takes
Implication
May support same-day discharge after 6-hour observation; leaves open prospective validation before changing practice.
Structured PICO
Is same-day discharge safe and feasible for most patients undergoing catheter ablation of atrial fibrillation?
P
Population
5,414 atrial fibrillation ablations in patients staying overnight after undergoing AF ablation between 2001 and 2020 at a tertiary center
I
Intervention
Catheter ablation of atrial fibrillation
O
Outcome
Incidence of major complications occurring intraprocedurally until 6 h postablation and between 6 h postablation and discharge the day after the ablation proceduresafety
Very few major complications occur between 6 hours post-procedure and next-day discharge after AF ablation, suggesting same-day discharge is safe for most patients.
Cite This Study
Paul‐Nordin et al. (2021) studied this question.