Evidence map›Paper›PMID 42847153›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2026

Improved patient value after implementing same day discharge for patients undergoing pulmonary vein isolation.

Stacey R Slingerland, Mileen R D van de Kar, Jasper Vermeer, Gijs J van Steenbergen, Daniela N Schulz, Dennis van Veghel, Lukas Dekker

Abstract read
In one paragraph

Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Stacey R SlingerlandCatharina Heart Centre, Catharina Hospital, P.O. Box 1350, Eindhoven 5602 ZA, the Netherlands.ORCID 0000-0001-6793-9969
Mileen R D van de KarCatharina Heart Centre, Catharina Hospital, P.O. Box 1350, Eindhoven 5602 ZA, the Netherlands.ORCID 0000-0001-9380-9404
Jasper VermeerCatharina Heart Centre, Catharina Hospital, P.O. Box 1350, Eindhoven 5602 ZA, the Netherlands.ORCID 0000-0002-0713-4402
Gijs J van SteenbergenCatharina Heart Centre, Catharina Hospital, P.O. Box 1350, Eindhoven 5602 ZA, the Netherlands.ORCID 0000-0003-0411-7014
Daniela N SchulzCatharina Heart Centre, Catharina Hospital, P.O. Box 1350, Eindhoven 5602 ZA, the Netherlands.ORCID 0000-0002-1016-432X
Dennis van VeghelCatharina Heart Centre, Catharina Hospital, P.O. Box 1350, Eindhoven 5602 ZA, the Netherlands.ORCID 0000-0001-6108-9203
Lukas DekkerCatharina Heart Centre, Catharina Hospital, P.O. Box 1350, Eindhoven 5602 ZA, the Netherlands.ORCID 0000-0002-8166-3716

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPulmonary vein isolation (PVI) is an effective intervention to treat atrial fibrillation, which is increasingly prevalent. Same-day discharge (SDD) is a strategic approach to limit procedure-related costs. This study aimed to compare healthcare utilization, costs, and clinical outcomes before and after implementation of an SDD protocol. METHODS AND

resultsThis retrospective study included 2987 patients undergoing PVI between 1 January 2016 and 1 April 2021. Baseline characteristics, pre-, peri-, and post-procedure healthcare utilization and clinical outcomes were compared before (cohort A; n = 1379) and after (Cohort B; n = 1608) implementation of the SDD protocol using bivariate and multivariate analyses. show that cohort B vs. cohort A had lower all-cause 90-day mortality (0% vs. 0.3%, P = 0.031), no differences in re-ablation < 1 year (P = 0.286), as well as in complications: bleedings (P = 0.177), tamponade < 30 days (P = 0.157), phrenic nerve injury (P = 0.984), thromboembolic complication < 72 h (P = 0.212), or vascular complications (P = 0.290). In terms of healthcare utilization and costs, cohort B had significantly less peri-procedure hospital admission costs (€721.52 vs. €1011.78, P < 0.001) and less total peri- and post-procedure costs (€840.37 vs. €1152.94, P < 0.001). Adjusted for all baseline characteristics, the post-implementation cohort showed on average €315 lower total costs per patient.

conclusionThe implementation of the SDD protocol was associated with comparable complication rates while significantly reducing both peri- and post-procedure healthcare utilization and costs, thereby enhancing patient value. This indicates a potential margin for further cost reductions and increased efficiency.

Indexed as

Ambulatory Surgical ProceduresAtrial FibrillationCatheter AblationPatient DischargePulmonary VeinsAgedFemaleHealth Care CostsHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTime FactorsTreatment OutcomeOutcome measurementPatient valuePulmonary vein isolationQuality improvementSame-day dischargeValue-based healthcare

Identifiers

PMID42847153
PMCPMC13646612

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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.