Performance of the REAL-AF Same-Day Discharge Protocol in Patients Undergoing Catheter Ablation of Atrial Fibrillation

doi:10.1016/j.jacep.2023.04.014

Arrhythmias & electrophysiology

Performance of the REAL-AF Same-Day Discharge Protocol in Patients Undergoing Catheter Ablation of Atrial Fibrillation

JACC Clin ElectrophysiolPublished 18 May 2023Prospective multicentre registry study

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Authors' conclusion

In this large, multicenter prospective registry, the use of a standardized protocol showed the safety of SDD after catheter ablation of paroxysmal and persistent AF.

Study context

Population: Patients undergoing catheter ablation of paroxysmal or persistent AF
Participants: 2,332 patients

Exposure: Same-day discharge (SDD) vs non-SDD
SDDn = 1,982
Outcome: Success rate of SDD

Main finding

As reported in the abstract

Primary efficacy endpoint achieved

1,707

86.1%

Observational data: associations, not effects.

Secondary outcomes

Outcome	P value
Freedom from all-atrial arrhythmiasComparable between groups	P = 0.212

Safety

Readmission (primary safety endpoint) · similar

P = 0.924

SDD0.8%

non-SDD0.9%

Acute complications (primary safety endpoint) · lower with SDD

P < 0.001

SDD0.8%

non-SDD2.9%

Outcome	P value
Subacute complications (primary safety endpoint)No difference	P = 0.513

Original publication

Performance of the REAL-AF Same-Day Discharge Protocol in Patients Undergoing Catheter Ablation of Atrial Fibrillation. JACC Clin Electrophysiol. Published 18 May 2023. doi:10.1016/j.jacep.2023.04.014

Read the original article ↗

Summarised from the published abstract; every number is checked against it