PO-03-051 EXPEDITED SAME DAY DISCHARGE PROTOCOL IS SAFE FOR PATIENTS UNDERGOING CARDIAC IMPLANTABLE ELECTRONIC DEVICE (CIED) IMPLANTATION
نویسندگان
چکیده
Prior studies have demonstrated the safety of same day discharge in appropriately selected patients undergoing CIED implantation though a limitation is requirement for prolonged post-operative observation. There limited data on whether expedited pathways, which can reduce resource utilization, offer comparably safe outcomes. To evaluate outcomes an (SDD) protocol across hospitals. All pacemaker and ICD between 2018-2021 at three hospitals were identified. The pathway SDD included two-hour (1) PA/lateral chest x-ray (2) device interrogation including set up remote monitoring (3) bedside evaluation. This was implemented over study period use physician discretion. Patients’ sociodemographics, comorbidities, procedure retrospectively collected. Outcomes 30-days post-implant unplanned healthcare utilization (urgent care, emergency department, or hospital visits) as well 90-day infections. Differences versus not assessed using chi-square test categorical variables t-test continuous variables. Multivariate logistic regression analysis used to association grouping interest. Between 2018-2021, 4872 underwent 28.3% discharged day. As summarized Table 1, compared SDD, older, more likely be female, had higher incidence comorbidities hypertension, diabetes mellitus, stroke, heart failure. Among day, mean time post-operatively 2.8 (SD±1.8) hours. Adjusting baseline characteristics, signficantly lower 30-day (AOR: 0.49 95%CI: 0.40-0.59), complications 0.60 0.38-0.93) mortality 0.19 0.06-0.62). Additionally, infection rates significantly different based grouping. An evaluation appears without increase adverse events hospitalized extended Further investigation define patient selection criteria warranted.
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ژورنال
عنوان ژورنال: Heart Rhythm
سال: 2023
ISSN: ['1556-3871', '1547-5271']
DOI: https://doi.org/10.1016/j.hrthm.2023.03.1054