B-PO05-110 SAME DAY DISCHARGE PROTOCOL FOLLOWING ATRIAL FIBRILLATION ABLATION

Abstract

AF ablation (PVI) has become an accepted treatment strategy. Though same day discharge (SDD) post PVI has been reported, an established discharge (DC) protocol has not been validated. Evaluate a protocol for SDD. We hypothesize SDD will not adversely affect safety. A pathway was developed for SDD following PVI (Figure 1). Consecutive outpatient PVI patients were evaluated comparing SDD to OBS. The primary end point was ER visit within 72 hours post DC. Secondary end point was 30-day readmission or major adverse events. 184 patients underwent PVI. Baseline characteristics are shown in Table 1. 65.9% of patients were SDD. The primary end point occurred in 2 patients (1.6%) of SDD patients and none in the OBS group (p=0.79). The secondary end point occurred in 8 (6.6%) of SDD patients and 4 (6.3%) of OBS (p=0.96). The median length of stay for SDD was 11 hrs (8-14) and 28 hrs (23-32) for OBS (p<0.5). SDD following PVI can be safely performed using an early DC protocol. SDD results in a reduction in hrs spent in the hospital without an increase in ER visits or major complications.View Large Image Figure ViewerDownload Hi-res image Download (PPT)