Arrhythmias & electrophysiology
Safety of same-day discharge after lead extraction procedures
Authors' conclusion
In appropriately selected patients undergoing elective lead extraction, SDD is feasible and safe.
Study context
- Population
- Patients undergoing elective transvenous lead extraction (TLE), January 2020–October 2021
- Participants
- 111 patients
- Exposure
- Same-day discharge (SDD) vs overnight stay after elective TLE
- SDDn = 80
- Overnightn = 31reference
- Outcome
- SDD
Methodological detailssingle-centre, retrospective chart review
- Single-centre
- Retrospective chart review
Main finding
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
Lead dwell time ≤10 years (% of all leads)
P = 0.042
| Outcome | Likelihood of overnight stay (times) (95% CI) | P value |
|---|---|---|
| Predictors of overnight stay (multivariate) | 3.5 (1.27–9.78) | P = 0.016 |
Predictors of overnight stay (multivariate)
- Lower BMI and laser sheath use predicted overnight stay
Safety
Events
| Outcome | SDD | Overnight |
|---|---|---|
| Major complications | 0 | 0 |
Original publication
Safety of same-day discharge after lead extraction procedures. Heart Rhythm. Published 15 August 2023. doi:10.
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