Valvular & structural heart diseaseCohort study
Feasibility and Safety of Same-Day Discharge Following Elective Mitral Transcatheter Edge-to-Edge Repair
- Nationwide Readmissions Database (2016-2022) review
- weighted hospitalizations
- Cox proportional hazards regression model
Authors' conclusion
SDD following M-TEER is uncommon but associated with a similar risk of 90-day readmission and lower index hospitalization costs compared to NDD. Further research is warranted to identify optimal patient selection criteria for SDD after M-TEER.
Study context
- Population
- Hospitalizations for elective mitral transcatheter edge-to-edge repair (M-TEER)weighted hospitalizations for M-TEER
- Participants
- 39,804 hospitalizations
- Exposure
- SDD following elective M-TEER with next-day discharge
- Outcome
- Unplanned all-cause readmissions
- Follow-up
- Within 90 days
Main finding
As reported in the abstract
Adjusted hazard ratio
1.25
95% CI 0.90–1.74
By group
SDD vs NDD
adjusted HR 1.25 (95% CI 0.90–1.74)
Observational data: associations, not effects.
Secondary outcomes
| Outcome | SDD | NDD | ScD/TDD | adjusted HR (95% CI) | P value | |
|---|---|---|---|---|---|---|
| HF readmission · 90 days | 4.4% | 3.7% | Not reported in the abstract | 1.22 (0.67–2.22) | ||
| 0.512Adjusted hazard ratio (log scale) |
Discharge timing distribution and trends · 2016 to 2022
2016 to 2022 SDD 0.4% to 2.4% · NDD 47.9% to 76.7% · ScD/TDD 51.7% to 20.9%
| Outcome | SDD | NDD | ScD/TDD | Estimate | P value |
|---|---|---|---|---|---|
| Index hospitalization costs — SDD vs NDD · significantly lower with SDD | $38,029 | $43,319 | $49,648 | P = 0.03 | |
| Index hospitalization costs — ScD/TDD vs NDD · higher with ScD/TDD | P < 0.001 |
- Discharge timing distribution and trends: all ptrend<0.001
Heart failure (HF) readmission · 90 days
- ScD/TDD associated with a higher risk of 90-day HF readmission compared to next-day discharge (NDD)
Original publication
Feasibility and Safety of Same-Day Discharge Following Elective Mitral Transcatheter Edge-to-Edge Repair. JACC Adv. Published 25 April 2026. doi:10.1016/j.jacadv.2026.102656
Summarised from the published abstract; every number is checked against it