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

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

“…Although these data originating from large-scale registries and non-randomised studies suggest that most patients can be discharged safely within 24 h of successful CIED implantation [ 15 , 17 – 19 ], evidence from large-scale, randomised controlled studies is limited. On the other hand, available prospective, controlled studies, although recruiting a relatively small number of patients, have also demonstrated no significant difference in the rate of complications between inpatient and same-day discharge groups [ 14 , 16 , 20 , 21 ]. Our results are in line with these findings data, showing safety of early mobilisation and same-day discharge, post CIED implantation.…”

“…The concept of day-case CIED implantations was first proposed over 30 years ago [12,13]; however, evidence regarding the safety of this strategy is still limited. Previous studies demonstrated that early ambulation and short-term observation after CIED implantation is safe and does not result in an increased complication rate [14][15][16][17][18][19][20][21]. Although these data originating from large-scale registries and nonrandomised studies suggest that most patients can be discharged safely within 24 h of successful CIED implantation [15,[17][18][19], evidence from large-scale, randomised controlled studies is limited.…”

“…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].…”

Caracterización de los pacientes llevados a implante de dispositivos de estimulación cardíaca en un Centro de Tercer Nivel: énfasis en complicaciones

“…The Emotion trial showed no difference in terms of complications, including electrode displacement, in patients taken to CIEDs implant who were early mobilized compared to those mobilized up to 24 hours after the procedure. 7 Similarly, a recent German study mentions that most of the potentially fatal complications occur between the initial 24-72 hours after device implant and that a safe discharge implies to discard them. 8 In our study, severe pneumothorax and pericardial effusion complications were detected immediately, and only in one case during the first 6-12 hours post-procedure.…”

SCAI expert consensus update on best practices in the cardiac catheterization laboratory

“…Selected patients after elective PCI should be considered for same‐day discharge after appropriate monitoring (usually 4–6 h) and the assessment of discharge readiness following the framework outlined in the SCAI and ACC consensus documents on length of stay and same day discharge following PCI 91–93 . Select EP procedures may also be considered for same day discharge 94–97 …”