Same-day discharge following catheter ablation for atrial fibrillation had similar 30-day all-cause readmission rates compared to overnight stay (12.7% vs. 9.7%; HR 1.17; 95% CI 0.76-1.81; P=0.47).
Cohort (n=30,776)
Yes
Does a same-day discharge protocol increase all-cause 30-day readmission in patients receiving catheter ablation for atrial fibrillation compared to conventional overnight stay?
Same-day discharge after catheter ablation for atrial fibrillation is associated with similar 30-day readmission rates and significantly lower healthcare costs compared to overnight stay.
Effect estimate: HR 1.17 (95% CI 0.76-1.81)
Absolute Event Rate: 12.7% vs 9.7%
p-value: p=0.47
AIMS: The effectiveness and safety of same-day discharge (SDD) for catheter ablation (CA) for atrial fibrillation (AF) has not been fully elucidated using a large nationwide database. This study aimed to evaluate the all-cause readmission rates within 30-days among patients receiving CA for AF with an SDD protocol compared with a conventional overnight stay (ONS). METHODS AND RESULTS: We performed a retrospective cohort study using the US Nationwide Readmission Database. The primary outcome was all-cause 30-day readmission following discharge in patients receiving CA and a secondary outcome was requiring total healthcare cost. A 1: 3 propensity score matching was conducted to compare the safety and efficacy within both SDD and ONS group. Among 30 776 patients mean 67. 2 ± 11. 4 years, 12 590 female (41. 5%) who received CA from 2016 through 2018, 440 (1. 42%) patients were discharged on the same-day following CA (SDD group), and the remaining 30 336 patients stayed at least one night in the hospital (ONS group). A propensity score analysis generated 1751 matched pairs (440 in the SDD group; 1311 in the ONS group). The 30-day readmission following discharge was not significantly higher in the SDD group than the ONS group (SDD vs. ONS: 12. 7% vs. 9. 7%; hazard ratio: 1. 17, 95% confidence interval: 0. 76-1. 81, P = 0. 47). Healthcare cost was significantly higher in the ONS group (25 237 ± 14 036 vs. 30 749 ± 16 383; P < 0. 01). CONCLUSION: In this nationwide database study, there was no significant difference in the all-cause 30-day readmission following SDD for CA compared with ONS.
Sahashi et al. (Wed,) conducted a cohort in Atrial fibrillation (n=30,776). Same-day discharge (SDD) protocol vs. Conventional overnight stay (ONS) was evaluated on All-cause 30-day readmission following discharge (HR 1.17, 95% CI 0.76-1.81, p=0.47). Same-day discharge following catheter ablation for atrial fibrillation had similar 30-day all-cause readmission rates compared to overnight stay (12.7% vs. 9.7%; HR 1.17; 95% CI 0.76-1.81; P=0.47).