Arrhythmias & electrophysiologyCohort study
Safety and efficacy of same-day discharge for premature ventricular complex ablations
- Retrospective cohort study
- single-centre
Authors' conclusion
Same-day discharge for CA of PVCs is feasible and could lower healthcare resource utilization without compromising outcomes in this unique population.
Study context
- Population
- Patients undergoing elective catheter ablation of premature ventricular complexes (PVCs), Ascension St Vincent Hospital, 2018–2019of 188 VA ablations
- Participants
- 98 patients
- Exposure
- Same-day discharge vs non-same-day discharge after PVC ablation
- SDDn = 55
- Outcome
- Procedural success (primary efficacy); complications and death (primary safety)
- Follow-up
- 30 days (safety)
Main finding
As reported in the abstract
Acute procedural success
P = 0.68
Observational data: associations, not effects.
Further findings
| Outcome | SDD | non-SDD |
|---|---|---|
| Complications and death (primary safety outcome) · 30 days | 0 events | 2.3% |
Baseline differences
- Non-SDD more likely on chronic anticoagulation
- P = 0.03
- Non-SDD more likely to have LV ablation
- P = 0.04
- Non-SDD more likely to have retrograde access
- P = 0.03
- Non-SDD more likely to receive heparin during procedure
- P = 0.01
Original publication
Safety and efficacy of same-day discharge for premature ventricular complex ablations. Europace. Published 1 August 2024. doi:10.1093/europace/euae205
Summarised from the published abstract; every number is checked against it