Arrhythmias & electrophysiologyCohort study
Improved patient value after implementing same day discharge for patients undergoing pulmonary vein isolation
- retrospective study
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:10.1093/europace/euag155
Summarised from the published abstract; every number is checked against it