Evidence map›Paper›PMID 36063282›Full record

Trial reportJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2023

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

Stefanos Archontakis, Evangelos Oikonomou, Konstantinos Sideris, Ageliki Laina, Dimitra Tirovola, Dimitra Paraskevopoulou, Panagiotis Kostakis, Ioannis Doundoulakis, Petros Arsenos, Ioannis Ntalakouras and 4 more

Erratum issuedAbstract readClinical Trial
In one paragraph

Trial report in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Early Mobilization After Pacemaker Implantation.Pacing and clinical electrophysiology : PACE · 2026
    Trial
  2. Review
  3. Same-day discharge after electrophysiological and cardiac implantable electronic device procedures: a clinical consensus statement of the European Heart Rhythm Association (EHRA) and the Association of Cardiovascular Nursing & Allied Professions (ACNAP) of the ESC.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Review
  4. Review
  5. Article
  6. Outcomes of an expedited same-day discharge protocol following cardiac implantable electronic device (CIED) implantation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    Article
  7. Article
  8. Length of hospital stay for elective electrophysiological procedures: a survey from the European Heart Rhythm Association.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Stefanos ArchontakisDepartment of Cardiology, Hippokration General Hospital, 114 VasilisisSofias str, Athens, Greece.
Evangelos OikonomouFirst Cardiology Division, Medical School, Hippokration General Hospital, University of Athens, 114 VasilisisSofias str, Athens, Greece.
Konstantinos SiderisDepartment of Cardiology, Hippokration General Hospital, 114 VasilisisSofias str, Athens, Greece.
Ageliki LainaFirst Cardiology Division, Medical School, Hippokration General Hospital, University of Athens, 114 VasilisisSofias str, Athens, Greece.
Dimitra TirovolaDepartment of Cardiology, Hippokration General Hospital, 114 VasilisisSofias str, Athens, Greece.
Dimitra ParaskevopoulouDepartment of Cardiology, Hippokration General Hospital, 114 VasilisisSofias str, Athens, Greece.
Panagiotis KostakisDepartment of Cardiology, Hippokration General Hospital, 114 VasilisisSofias str, Athens, Greece.
Ioannis DoundoulakisFirst Cardiology Division, Medical School, Hippokration General Hospital, University of Athens, 114 VasilisisSofias str, Athens, Greece.
Petros ArsenosFirst Cardiology Division, Medical School, Hippokration General Hospital, University of Athens, 114 VasilisisSofias str, Athens, Greece.
Ioannis NtalakourasFirst Cardiology Division, Medical School, Hippokration General Hospital, University of Athens, 114 VasilisisSofias str, Athens, Greece.
Emmanouil CharitakisDepartment of Cardiology, Hippokration General Hospital, 114 VasilisisSofias str, Athens, Greece.
Konstantinos GatzoulisFirst Cardiology Division, Medical School, Hippokration General Hospital, University of Athens, 114 VasilisisSofias str, Athens, Greece.
Konstantinos TsioufisFirst Cardiology Division, Medical School, Hippokration General Hospital, University of Athens, 114 VasilisisSofias str, Athens, Greece.
Skevos SiderisDepartment of Cardiology, Hippokration General Hospital, 114 VasilisisSofias str, Athens, Greece. skevos1@otenet.gr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe strategy of cardiac implantable electronic device (CIED) implantations performed as day-case admissions has gained a wider acceptance overtime; however, data on safety are still limited. This study aims to investigate the safety of a same-day discharge protocol introduced in our hospital for the postprocedural management of patients undergoing CIED implantation.

methodsΑ prospective, non-interventional, non-randomised study performed in a single high-volume implanting centre for a 16-month period (March 2020 to June 2021). At total of 821 of 965 (85.1%) patients scheduled for elective CIED implantation were considered to be eligible for inclusion in the Short-stay Device Management Protocol. These patients were compared with a historical group of 932 patients, meeting the same inclusion criteria.

resultsProcedure was successful in 812 patients (98.9%), committed to same-day discharge versus 921 of 932 patients (98.8%) admitted for overnight stay (p = 0.87). Overall, 90-day complication rate was comparable in both groups (4.14% vs 4.07%, p = 0.95), as was major (1.46% vs. 1.82%, p = 0.55) and minor (2.67% vs. 2.25%, p = 0.64) complication rates. The composite early post-procedural complication rates and late post-procedural complication rates were comparable among groups (0.97 vs 1.18%, p = 0.70 and 0.73% vs 0.64%, p = 0.83, respectively). Six hundred sixty-seven patients (84%) preferred the same-day discharge strategy. Finally, a reduction of 792 bed-days was recorded, resulting in possible financial Health System benefits.

conclusionsSame-day discharge is feasible and safe in the majority of patients referred for CIED implantation. Additionally, same-day discharge is preferred by patients and may reduce procedure-related costs due to significant bed-day reductions.

Indexed as

Defibrillators, ImplantablePacemaker, ArtificialHospitalizationHumansPatient DischargeProspective StudiesRetrospective StudiesCardiac implantable electronic deviceCOVID-19 pandemicEarly dischargeImplantable cardioverter defibrillatorPacemaker implantationPacemaker implantation complications

Identifiers

PMID36063282
PMCPMC9442569

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.