Evidence map›Paper›PMID 38194120›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2024

Outcomes of an expedited same-day discharge protocol following cardiac implantable electronic device (CIED) implantation.

Satish Misra, Kamala Swayampakala, Aparna Rajwani, Elizabeth Davenport, John Fedor, Sherry Saxonhouse, John Holshouser, Neel Patel, Joseph Thompson, Elijah Beaty and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
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

4 citing papers in PubMed, 2 citations in OpenAlex.

  1. Early Mobilization After Pacemaker Implantation.Pacing and clinical electrophysiology : PACE · 2026
    Trial
  2. Trial
  3. Review
  4. 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 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Satish MisraSanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA. satish.misra@atriumhealth.org.ORCID http://orcid.org/0000-0003-1214-5568
Kamala SwayampakalaSanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA.
Aparna RajwaniSanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA.
Elizabeth DavenportSanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA.
John FedorSanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA.
Sherry SaxonhouseSanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA.
John HolshouserSanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA.
Neel PatelSanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA.
Joseph ThompsonSanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA.
Elijah BeatySanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA.
Manish JainSanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA.
Brian PowellSanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA.
Rohit MehtaSanger Heart and Vascular Institute, 1237 Harding Place, Charlotte, NC, 28204, USA.
Bon Secours Heart & Vascular Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith increasing constraints on healthcare resources, greater attention is being focused on improved resource utilization. Prior studies have demonstrated safety of same-day discharge following CIED implantation but are limited by vague protocols with long observation periods. In this study, we evaluate the safety of an expedited 2 hour same-day discharge protocol following CIED implantation.

methodsPatients undergoing CIED implantation at three centers between 2015 and 2021 were included. Procedural, demographic, and adverse event data were abstracted from the electronic health record. Patients were divided into same-day discharge (SDD) and delayed discharge (DD) cohorts. The primary outcome was complications including lead malfunction requiring revision, pneumothorax, hemothorax, lead dislodgement, lead perforation with tamponade, and mortality within 30 days of procedure. Outcomes were compared between the two cohorts using the χ

resultsA total of 4543 CIED implantation procedures were included with 1557 patients (34%) in the SDD cohort. SDD patients were comparatively younger, were more likely to be male, and had fewer comorbidities than DD patients. Among SDD patients, the mean time to post-operative chest X-ray was 2.6 h. SDD had lower rates of complications (1.3% vs 2.1%, p = 0.0487) and acute care utilization post-discharge (9.6% vs 14.0%, p < 0.0001). There was no difference in the 90-day infection rate between the cohorts.

conclusionsAn expedited 2 hour same-day discharge protocol is safe and effective with low rates of complications, infection, and post-operative acute care utilization.

Indexed as

Defibrillators, ImplantablePatient DischargePostoperative ComplicationsProsthesis ImplantationAgedCohort StudiesFemaleHumansMaleMiddle AgedPacemaker, ArtificialRetrospective StudiesTime FactorsBiventricular implantable cardioverter defibrillatorBiventricular pacemakerCIEDImplantable cardioverter defibrillatorPacemakerSame-day discharge

Identifiers

PMID38194120
OpenAlexW4391489885

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.