February 1, 2020Journal of Atrial FibrillationOpen Access

Safety of Same Day Discharge after Atrial Fibrillation Ablation

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Why the study?

Overnight hospital observation is routine practice after AF ablation, but the safety of a same day discharge strategy required evaluation.

Does a same day discharge strategy reduce complications compared to overnight observation in patients undergoing atrial fibrillation ablation?

Population

Consecutive patients undergoing elective AF or left atrial flutter ablation at a single center

Comparison

Same day discharge strategy vs overnight hospital observation

Design

Single-center retrospective chart review

Follow-up

Up to 3 months

Discussion

Member takes

Implication

Should not yet change overnight observation after AF ablation; leaves open comparative safety from this retrospective series.

Structured PICO

Does a same day discharge strategy reduce complications compared to overnight observation in patients undergoing atrial fibrillation ablation?

Population

571 consecutive patients who underwent atrial fibrillation (AF) or left atrial flutter (AFL) ablation (mean age ~61, ~54% male). Excluded: patients who underwent AF ablation as inpatients and standalone right-sided flutter ablation.

Intervention

Same day discharge (SDD) strategy following ablation (n=426, between March 2010 and December 2015)

Comparator

Overnight observation in the hospital following ablation (n=145, between January 2005 and February 2010)

Outcome

Comparison of total complication rates (major and minor) up to 3 months post ablationsafety

A same-day discharge strategy after atrial fibrillation ablation appears safe and feasible in selected patients, with complication rates comparable to or lower than routine overnight observation.

Limitations

Single center, retrospective study
Confounding cannot be excluded despite intention to treat analysis
No pre-specified ablation strategy
Peri-procedure anticoagulation regimen was not uniform throughout the study period
None of the patients underwent ablation using cryoballoon technology

Cite This Study

A 2020 study studied this question.

synapsesocial.com/papers/6a8065912cf87dafd7c88e01 https://doi.org/10.4022/jafib.2150

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Safety of Same Day Discharge after Atrial Fibrillation Ablation

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Safety of Same Day Discharge after Atrial Fibrillation Ablation

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider