Arrhythmias & electrophysiologyMeta-analysis
Same-day discharge vs. overnight stay following catheter ablation for atrial fibrillation: a comprehensive review and meta-analysis by the European Heart Rhythm Association Health Economics Committee
- Systematic review and meta-analysis
- random-effects models
All studies subject to relevant risk of bias, mainly due to study design
Authors' conclusion
In this meta-analysis including a large contemporary cohort, SDD after AF ablation was associated with low prevalence of post-discharge complications, re-hospitalizations/ER visits and mortality, and a similar risk compared with ONS.
Study context
- Population
- Patients undergoing catheter ablation for AF
- Participants
- 154,716 patients · 24 studies
- Comparison
- Same-day discharge (SDD) vs overnight stay (ONS) after AF ablation
- Outcome
- Complications at short-term (24-96 h) and 30-day post-discharge, re-hospitalization and/or ER visits at 30 days, and 30-day mortality
Pooled result
As reported in the abstract
Complications
SDD
2% (95% CI 1-5%; I2 89%)
Pooled short-term complications · Pooled 30-day complications 2% (95% CI 1-4%; I2 91%)
SDD vs ONSRelative risk (95% CI)
short-term complications; I2: 37%
1.62(0.52–5.01)
30-day complications; I2: 95%
0.65(0.42–1.00)
Further pooled results
| Outcome | SDD | ONS | RR (95% CI) | |
|---|---|---|---|---|
| Re-hospitalization/ER visits · 30 days · I2: 61%; not statistically significant | 4% (95% CI 1–10%) | Not reported in the abstract | 0.86 (0.58–1.27) | |
| 0.512Relative risk (log scale) |
| Outcome | SDD | ONS | Estimate |
|---|---|---|---|
| Mortality · 30 days | 0% (95% CI 0–1%) | Not reported in the abstract |
- Re-hospitalization/emergency room (ER) visits: SDD I2: 96%
- Mortality: I2: 33%
Original publication
Same-day discharge vs. overnight stay following catheter ablation for atrial fibrillation: a comprehensive review and meta-analysis by the European Heart Rhythm Association Health Economics Committee. Europace. Published 30 July 2024. doi:10.1093/europace/euae200
Summarised from the published abstract; every number is checked against it