ArticleHerzschrittmachertherapie & Elektrophysiologie2026
[Use of suture closure systems in interventional electrophysiology : Impact on workflows, resource utilization, reimbursement, and patient safety in hospitals in the STYLE AF study].
Article in Herzschrittmachertherapie & Elektrophysiologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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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.
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Who cites it
1 citing paper in PubMed.
- 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 · 2026Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesCatheter ablation of cardiac arrhythmias is typically performed via femoral venous access. To reduce bleeding complications and shorten hospital stays, venous closure devices are gaining importance. This study aimed to quantitatively evaluate the impact of closure devices, "tagesstationär" (2 day-case stay with night leave) billing, and early recovery room (post-anesthesia care unit, PACU) discharge on economic indicators, patient-related outcomes, and staffing requirements.
methodsBased on data from the STYLE-AF study-including PACU length of stay, groin bleeding rates, and additional outcome parameters-supplemented by expert interviews and literature review, we conducted a simulation study and real-world implementation to analyze various scenarios: use of closure devices, "tagesstationär" discharge billing, early PACU discharge, and combinations thereof. Primary endpoints were time savings in the PACU, changes in groin bleeding probability, and gains in patient comfort quantified by quality-adjusted life years (QALYs).
resultsThe exclusive use of closure devices led to a 6.5% increase in case throughput and a gain of 0.0034 QALYs per patient. When combined with same-day discharge billing, the contribution margin increased by € 415 per case. Switching to same-day discharge billing without closure devices yielded a € 388.80 higher revenue per case but did not result in QALY gains or staff workload reductions. The most substantial effects were observed with the combined implementation of all measures: a 25% increase in case volume, € 661.27 higher contribution margin per patient, up to 24% relative reduction in PACU staff workload, and a QALY gain of 0.0034.
conclusionClosure devices, particularly when integrated with process optimizations and "tagesstationär" discharge billing, provide significant multidimensional benefits across economic performance (contribution margin), resource efficiency (PACU time), and patient outcomes (QALYs through reduced groin bleeding)-contingent on institutional context and consistent implementation.
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