Temporal Trends and Outcomes of Same-Day Discharge After Left Atrial Appendage Occlusion: Insight from National Readmission Database

Maqsood, Muhammad Haisum; Khalil, Mahmoud; Maraey, Ahmed; Elzanaty, Ahmed; Louka, Boshra; Elbadawi, Ayman; Ong, Kenneth; Megaly, Micheal; García, Santiago

doi:10.1016/j.amjcard.2022.03.049

Cited by 3 publications

(8 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of those that had undergone LAAC, only 1.2% of patients (621 patients out of 50,253) were discharged on the same day, with an increasing trend for SDD (2 reported cases in 2016, increased to 19 cases in 2019). While there were no significant differences in 30‐day readmission rates, similar to our experience there was significant cost savings associated with SDD 4,10 . In the present study, we showed 1‐year follow‐up data that demonstrates that LAAC with SDD is safe and effective.…”

Section: Discussionsupporting

confidence: 82%

“…While there were no significant differences in 30-day readmission rates, similar to our experience there was significant cost savings associated with SDD. 4,10 In the present study, we showed 1year follow-up data that demonstrates that LAAC with SDD is safe and effective. SDD is likely to be associated with improved patient satisfaction, shorter hospital length of stay, and reduced or similar inhospital costs.…”

Section: Discussionsupporting

confidence: 64%

“…SDD following LAAC has been reported in a limited number of series and more recently is increasingly being performed 2–4,9,10 . Marmagkiolis et al report a total of 112 patients that had undergone successful SDD using TEE‐guided LAAC with moderate conscious sedation 3 .…”

Section: Discussionmentioning

confidence: 99%

“…Gilhofer et al report 78 patients who underwent LAAC, with 24 patients (30.8%) undergoing SDD, without any clinical complications at 1‐month follow‐up 5 . Recently there have been publications examining the 30‐day readmissions and cost of LAAC in patients with SDD versus overnight admission using publicly available national databases 10 . Of those that had undergone LAAC, only 1.2% of patients (621 patients out of 50,253) were discharged on the same day, with an increasing trend for SDD (2 reported cases in 2016, increased to 19 cases in 2019).…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Predictors of successful same‐day discharge and 1‐year outcomes after left atrial appendage closure

Waas

Galo

Yoon

et al. 2022

Cathet Cardio Intervent

View full text Add to dashboard Cite

Background Same‐day discharge (SDD) following left atrial appendage closure (LAAC) is increasingly common but predictors of successful SDD and 1‐year clinical outcomes have not been described. Objective The purpose of this study was to explore predictors of successful SDD and report 1‐year outcomes in patients undergoing LAAC with SDD. Methods A prospective analysis was performed over a 20‐month period of 225 consecutive patients that underwent LAAC in a large, academic hospital. All patients included in the study underwent a SDD protocol. Baseline characteristics and 1‐year outcomes of patients discharged same day of the procedure versus those that required at least one overnight stay were compared. Adverse events, procedural success, and procedure times were evaluated. Results One hundred and sixty‐one patients (72%) of patients were discharged the same day and 64 patients (28%) required at least an overnight stay (non‐SDD: NSDD). NSDD patients were older and more often female. Procedure time was also longer in the NSDD group than in the SDD (63.4 vs. 55.1 min; p = 0.01). While overall procedural success rates were similar between the SDD and NSDD groups (99.4% vs. 98.4%; p = 0.39), NSDD patients had more complications (9.4% vs. 0%; p = 0.01) and higher number of devices per procedure (1.2 vs. 1.0; p = 0.01) as compared to SDD. At 1 year, there were no significant difference between the SDD and NSDD groups in stroke (1.1% vs. 0%; log‐rank p = 0.44) and all‐cause mortality (3.9% vs. 4.7%; log‐rank p = 0.70). Conclusion In this single‐center LAAC experience, female sex, older age, and longer procedure duration were associated with higher likelihood for need of overnight stay. At 1‐year follow‐up, there were no significant differences in stroke events and death rates between SDD and NSDD groups.

show abstract

Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Predictors of successful same‐day discharge and 1‐year outcomes after left atrial appendage closure

Waas

Galo

Yoon

et al. 2022

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…Along the same line, same day discharge for LAAO was established before the COVID-19 pandemic. A prior nationwide study that showed increased rates of same day discharge in the US from 2016 to 2019 24 . However, its largescale adoption was observed during the COVID-19 pandemic 25 .…”

Section: Discussionmentioning

confidence: 99%

National Trends of Structural Heart Disease Interventions from 2016 to 2020 in the United States and the Associated Impact of COVID-19 Pandemic

Maraey

Gupta

Abdelmottaleb

et al. 2023

Current Problems in Cardiology

Self Cite

View full text Add to dashboard Cite

Same-Day Discharge After Percutaneous Left Atrial Appendage Occlusion Procedures

Kagal,

Bauer,

Singh

2024

CJC Open

View full text Add to dashboard Cite

Temporal Trends and Outcomes of Same-Day Discharge After Left Atrial Appendage Occlusion: Insight from National Readmission Database

Cited by 3 publications

References 5 publications

Predictors of successful same‐day discharge and 1‐year outcomes after left atrial appendage closure

Predictors of successful same‐day discharge and 1‐year outcomes after left atrial appendage closure

National Trends of Structural Heart Disease Interventions from 2016 to 2020 in the United States and the Associated Impact of COVID-19 Pandemic

Same-Day Discharge After Percutaneous Left Atrial Appendage Occlusion Procedures

Contact Info

Product

Resources

About