Arrhythmias & electrophysiology

Length of hospital stay for elective electrophysiological procedures: a survey from the European Heart Rhythm Association

EuropacePublished Cross-sectional study

Authors' conclusion

There is a wide variation in the LOS for elective EP procedures. The LOS for some procedures appears disproportionate to their complexity. Neither reimbursement nor bed availability consistently influenced LOS.

Study context

Population
Electrophysiological (EP) centres (EHRA survey respondents) performing elective EP proceduresrespondents, 35 countries
Participants
245 participants
Outcome
LOS for elective EP procedures
Methodological detailsonline survey, 27 multiple-choice questions, 35 countries
  • Online survey
  • 27 multiple-choice questions
  • 35 countries

Main finding

As reported in the abstract

Day case procedures reported
De novo implantable loop recorders
79.5%
De novo pacemakers (PMs)
13.3%
De novo implantable cardioverter defibrillators (ICDs)
10.4%
De novo cardiac resynchronization therapy (CRT) devices
10.2%
PM generator replacements
61.7%
ICD generator replacements
49.2%
CRT generator replacements
48.2%
Atrial fibrillation (AF) ablations
5.7%
Left-sided ablations
10.7%
Right-sided ablations
17.5%

Observational data: associations, not effects.

Further findings

Lengths of stay (LOS) ≥ 2 days reported

PM implantation
47.7%
ICD implantation
54.5%
CRT implantation
56.9%
AF ablations
54.5%
Right-sided ablations
42.2%
Left-sided ablations
46.1%

Impact of reimbursement and bed availability on organization of elective procedures

Reimbursement: no consistent impact
43-56%
Bed availability: no consistent impact
20-47%

Original publication

Length of hospital stay for elective electrophysiological procedures: a survey from the European Heart Rhythm Association. Europace. Published 4 October 2023. doi:10.1093/europace/euad297

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