Evidence map›Paper›PMID 38837730›Full record

ArticleJournal of cardiovascular electrophysiology2024

Comprehensive analysis of same day discharge after atrial fibrillation ablation: Clinical, cost, and patient reported outcomes.

Brian Zenger, Michael Torre, Yue Zhang, Leeming Boo, Farid Jamshidian, Jeff Young, Thomas J Bunch, Benjamin A Steinberg

Abstract readComparative Study
In one paragraph

Article in Journal of cardiovascular electrophysiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Same-day discharge versus overnight stay after catheter ablation for atrial fibrillation: a systematic review and meta-analysis.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Review
  2. 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
  3. Acute outcomes and learning curve from the initial patients treated with the PulseSelect system: a real-world multicenter experience of pulsed field ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Article
  4. Article
  5. 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

8 authors.

Brian ZengerDepartment of Internal Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.
Michael TorreUniversity of Utah School of Medicine, Salt Lake City, Utah, USA.
Yue ZhangUniversity of Utah School of Medicine, Salt Lake City, Utah, USA.
Leeming BooBiosense Webster Inc., Irvine, California, USA.
Farid JamshidianBiosense Webster Inc., Irvine, California, USA.
Jeff YoungUniversity of Utah School of Medicine, Salt Lake City, Utah, USA.
Thomas J BunchUniversity of Utah School of Medicine, Salt Lake City, Utah, USA.ORCID 0000-0001-5349-0136
Benjamin A SteinbergUniversity of Utah School of Medicine, Salt Lake City, Utah, USA.ORCID 0000-0002-4729-7820

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
Optimizing Outcomes for Patients with Heart Failure and Atrial FibrillationK23HL143156 · NHLBI · UNIVERSITY OF UTAH · PI STEINBERG, BENJAMIN ADAM · 2018 to 2022
$951k
Personalized Risk Stratification in Atrial Fibrillation using Portable, Explainable Artificial IntelligenceR56HL168264 · NHLBI · UNIVERSITY OF UTAH · PI STEINBERG, BENJAMIN ADAM · 2023 to 2023
$684k
Overcoming explainability and data availability barriers to broad application of ECG ML screening with a system-wide ECG datasetR21HL172288 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI STEINBERG, BENJAMIN ADAM, TASDIZEN, TOLGA · 2024 to 2025
$231k
Novel Characterization and Detection Techniques for Acute Myocardial IschemiaF30HL149327 · NHLBI · UNIVERSITY OF UTAH · PI ZENGER, BRIAN · 2020 to 2022
$117k
National Heart, Lung, and Blood Institute Biosense WebsterNCATS NIH HHS UL1 TR002538NCATS NIH HHS UM1 TR004409NHLBI NIH HHS F30 HL149327NHLBI NIH HHS K23 HL143156NHLBI NIH HHS R21 HL172288NHLBI NIH HHS R56 HL168264
6 · The paper itself

Abstract

backgroundSame day discharge (SDD) following atrial fibrillation (AF) ablation procedure has emerged as routine practice, and primarily driven by operator discretion. However, the impacts of SDD on clinical outcomes, healthcare system costs, and patient reported outcomes (PROs) have not been systematically studied.

methodsWe retrospectively analyzed patients undergoing routine AF ablation procedures with SDD versus overnight observation (NSDD). After propensity adjustment we compared postprocedure adverse events (AEs), healthcare system costs, and changes in PROs.

resultsWe identified 310 cases, with 159 undergoing SDD and 151 staying at least one midnight in the hospital (NSDD). Compared with NSDD, SDD patients were similar age (mean 64 vs. 66, p = 0.3), sex (26% female vs. 27%, p = 0.8), and with lower mean CHADS

conclusionsPhysician selection for SDD appears at least as safe as NSDD with respect to clinical outcomes and SDD is not significantly less costly to the health system. There is a trend towards more favorable, general PROs among SDD patients. Routine SDD should be strongly considered for patients undergoing routine AF ablation procedures.

Indexed as

Atrial FibrillationCatheter AblationPatient DischargePatient Reported Outcome MeasuresAgedAmbulatory Surgical ProceduresCost-Benefit AnalysisFemaleHospital CostsHumansLength of StayMaleMiddle AgedRetrospective StudiesRisk FactorsTime Factorsatrial fibrillationatrial fibrillation ablationhealthcare costshealthcare utilizationpatient reported outcomessame day discharge

Identifiers

PMID38837730
PMCPMC13505355

What OpenQuestion holds

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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.