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Clinical Trial
. 2023 Mar;66(2):471-481.
doi: 10.1007/s10840-022-01319-5. Epub 2022 Sep 5.

Safety of same-day discharge versus overnight stay strategy following cardiac device implantations: a high-volume single-centre experience

Stefanos Archontakis  1 , Evangelos Oikonomou  2 , Konstantinos Sideris  1 , Ageliki Laina  2 , Dimitra Tirovola  1 , Dimitra Paraskevopoulou  1 , Panagiotis Kostakis  1 , Ioannis Doundoulakis  2 , Petros Arsenos  2 , Ioannis Ntalakouras  2 , Emmanouil Charitakis  1 , Konstantinos Gatzoulis  2 , Konstantinos Tsioufis  2 , Skevos Sideris  3
Affiliations
Clinical Trial

Safety of same-day discharge versus overnight stay strategy following cardiac device implantations: a high-volume single-centre experience

Stefanos Archontakis et al. J Interv Card Electrophysiol. 2023 Mar.

Erratum in

Abstract

Background: The strategy of cardiac implantable electronic device (CIED) implantations performed as day-case admissions has gained a wider acceptance overtime; however, data on safety are still limited. This study aims to investigate the safety of a same-day discharge protocol introduced in our hospital for the postprocedural management of patients undergoing CIED implantation.

Methods: Α prospective, non-interventional, non-randomised study performed in a single high-volume implanting centre for a 16-month period (March 2020 to June 2021). At total of 821 of 965 (85.1%) patients scheduled for elective CIED implantation were considered to be eligible for inclusion in the Short-stay Device Management Protocol. These patients were compared with a historical group of 932 patients, meeting the same inclusion criteria.

Results: Procedure was successful in 812 patients (98.9%), committed to same-day discharge versus 921 of 932 patients (98.8%) admitted for overnight stay (p = 0.87). Overall, 90-day complication rate was comparable in both groups (4.14% vs 4.07%, p = 0.95), as was major (1.46% vs. 1.82%, p = 0.55) and minor (2.67% vs. 2.25%, p = 0.64) complication rates. The composite early post-procedural complication rates and late post-procedural complication rates were comparable among groups (0.97 vs 1.18%, p = 0.70 and 0.73% vs 0.64%, p = 0.83, respectively). Six hundred sixty-seven patients (84%) preferred the same-day discharge strategy. Finally, a reduction of 792 bed-days was recorded, resulting in possible financial Health System benefits.

Conclusions: Same-day discharge is feasible and safe in the majority of patients referred for CIED implantation. Additionally, same-day discharge is preferred by patients and may reduce procedure-related costs due to significant bed-day reductions.

Keywords: COVID-19 pandemic; Cardiac implantable electronic device; Early discharge; Implantable cardioverter defibrillator; Pacemaker implantation; Pacemaker implantation complications.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Summary of the patient management procedure following the Overnight-Stay and the Short-Stay Device Management Protocol
See this image and copyright information in PMC

Comment in

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