Retrospective Study of Patients Who Undergo Pacemaker Implantation in Short-Stay Ambulatory Surgery. Long-Term Follow-up and Cost Analysis

Safety of same-day discharge versus overnight stay strategy following cardiac device implantations: a high-volume single-centre experience

“…On the other hand, a number of previous studies, most of which were non-randomised, demonstrated that early mobilisation and same-day discharge is safe, does not add to the complication rate, and reduces procedure-related costs [12][13][14][15][16][17][18][19][20][21].Two subsequent surveys in 2014 and 2021, organised by the European Heart Rhythm Association (EHRA), showed that implantations were performed as day-case admissions in 30% and 50%, respectively, indicating a wider acceptance of this strategy overtime; however, the optimal management protocol remains a matter of debate [22,23].…”

A methodology to estimate the potential to move inpatient to one day surgery

“…About half these procedures were justified by sufficient case records in canton Vaud and did not give rise to scientific refutation because they are all related to easily accessible organs: knee surgery, operations on hands, operations on eye structures (Table 3 , rows 2, 9, 14). The feasibility of most other procedures (Table 3 , row 21 and Table 4 , rows 28, 29) was well supported by the literature review: new pacing system implantation and replacement [ 36 - 39 ], tubo-ovarian laparoscopic procedures [ 40 - 42 ], vascular bypass for dialysis [ 43 , 44 ]. As regards ambulatory orthopedic surgery (such as hallux valgus, Table 4 row 26), the limitation is often postoperative pain, the most common reason for delayed discharge or unanticipated hospital readmission [ 45 ].…”

“…For instance, outpatient PTCA, performed for the first time by Kiemerneij and al in 1997, is now considered both safe and feasible for a large part of the routine candidate population [ 32 , 33 ]. Similarly, although many centers routinely admit patients for overnight observation after endoscopic therapy of choledocholithiasis, six hours are sufficient to detect significant complications [ 34 , 36 ].…”

Same-day CIED implantation and discharge: Is it possible? The E-MOTION trial (Early MObilization after pacemaker implantaTION)

“…Among more recent studies, in 2003 the retrospective study by Villaba et al 16 included both hospitalized patients and outpatients undergoing CIED procedure and did not found an higher rate of complications in patients mobilized early. In 2005 Miracapillo et al 17 published the unique randomized trial available in literature on early mobilization after CIED procedure: they randomized 134 patients into 2 groups (early and late mobilization) finding no significant differences as to complication rates.…”