Arrhythmias & electrophysiology
Improved patient value after implementing same day discharge for patients undergoing pulmonary vein isolation
Authors' conclusion
The implementation of the SDD protocol was associated with comparable complication rates while significantly reducing both peri- and post-procedure healthcare utilization and costs, thereby enhancing patient value. This indicates a potential margin for further cost reductions and increased efficiency.
Study context
- Population
- Patients undergoing pulmonary vein isolation (PVI) between 1 January 2016 and 1 April 2021, before and after implementation of a same-day discharge (SDD) protocolpatients undergoing PVI · cohort A 1,379 · Cohort B 1,608
- Participants
- 2,987 patients
- Exposure
- before and after implementation of the SDD protocol
- cohort An = 1,379
- Cohort Bn = 1,608
Main finding
As reported in the abstract
All-cause 90-day mortality · 90 days
P = 0.031
Observational data: associations, not effects.
Further findings
| Outcome | Cohort A | Cohort B | Difference | P value |
|---|---|---|---|---|
| Peri-procedure hospital admission costs · less with cohort B | €1011.78 | €721.52 | P < 0.001 | |
| Total peri- and post-procedure costs · less with cohort B | €1152.94 | €840.37 | P < 0.001 | |
| Total costs per patient, adjusted for all baseline characteristics · Adjusted for all baseline characteristics | €315 |
- Total costs per patient, adjusted for all baseline characteristics: on average €315 lower total costs per patient in the post-implementation cohort
Re-ablation < 1 year
- No differences
- P = 0.286
Safety
Complications
- Bleedings, no difference
- P = 0.177
- Tamponade < 30 days, no difference
- P = 0.157
- Phrenic nerve injury, no difference
- P = 0.984
- Thromboembolic complication < 72 h, no difference
- P = 0.212
- Vascular complications, no difference
- P = 0.290
Original publication
Improved patient value after implementing same day discharge for patients undergoing pulmonary vein isolation. Europace. Published 8 October 2026. doi:10.
Summarised from the published abstract; every number is checked against it