Length of hospital stay for elective electrophysiological procedures: a survey from the European Heart Rhythm Association
Abstract - - Aims - Electrophysiological (EP) operations that have traditionally involved long hospital lengths of stay (LOS) are now being undertaken as day case procedures. The coronavirus disease-19 pandemic served as an impetus for many centres to shorten...
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| Main Authors: | , , , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
04 October 2023
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| In: |
Europace
Year: 2023, Volume: 25, Issue: 10, Pages: 1-8 |
| ISSN: | 1532-2092 |
| DOI: | 10.1093/europace/euad297 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/europace/euad297 Verlag, lizenzpflichtig, Volltext: https://academic.oup.com/europace/article/doi/10.1093/europace/euad297/7285010 
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| Author Notes: | Giuseppe Boriani, Jacopo F Imberti, Francisco Leyva, Ruben Casado-Arroyo, Julian Chun, Frieder Braunschweig, Maura M Zylla, David Duncker, Michał M Farkowski, Helmut Pürerfellner, and José L Merino |
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| 245 | 1 | 0 | |a Length of hospital stay for elective electrophysiological procedures |b a survey from the European Heart Rhythm Association |c Giuseppe Boriani, Jacopo F Imberti, Francisco Leyva, Ruben Casado-Arroyo, Julian Chun, Frieder Braunschweig, Maura M Zylla, David Duncker, Michał M Farkowski, Helmut Pürerfellner, and José L Merino |
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| 520 | |a Abstract - - Aims - Electrophysiological (EP) operations that have traditionally involved long hospital lengths of stay (LOS) are now being undertaken as day case procedures. The coronavirus disease-19 pandemic served as an impetus for many centres to shorten LOS for EP procedures. This survey explores LOS for elective EP procedures in the modern era. - - - Methods and results - An online survey consisting of 27 multiple-choice questions was completed by 245 respondents from 35 countries. With respect to de novo cardiac implantable electronic device (CIED) implantations, day case procedures were reported for 79.5% of implantable loop recorders, 13.3% of pacemakers (PMs), 10.4% of implantable cardioverter defibrillators (ICDs), and 10.2% of cardiac resynchronization therapy (CRT) devices. With respect to CIED generator replacements, day case procedures were reported for 61.7% of PMs, 49.2% of ICDs, and 48.2% of CRT devices. With regard to ablations, day case procedures were reported for 5.7% of atrial fibrillation (AF) ablations, 10.7% of left-sided ablations, and 17.5% of right-sided ablations. A LOS ≥ 2 days for CIED implantation was reported for 47.7% of PM, 54.5% of ICDs, and 56.9% of CRT devices and for 54.5% of AF ablations, 42.2% of right-sided ablations, and 46.1% of left-sided ablations. Reimbursement (43-56%) and bed availability (20-47%) were reported to have no consistent impact on the organization of elective procedures. - - - Conclusion - There is a wide variation in the LOS for elective EP procedures. The LOS for some procedures appears disproportionate to their complexity. Neither reimbursement nor bed availability consistently influenced LOS. | ||
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| 700 | 1 | |a Leyva, Francisco |e VerfasserIn |4 aut | |
| 700 | 1 | |a Casado-Arroyo, Ruben |e VerfasserIn |4 aut | |
| 700 | 1 | |a Chun, Julian |e VerfasserIn |4 aut | |
| 700 | 1 | |a Braunschweig, Frieder |e VerfasserIn |4 aut | |
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| 700 | 1 | |a Farkowski, Michał M |e VerfasserIn |4 aut | |
| 700 | 1 | |a Pürerfellner, Helmut |e VerfasserIn |4 aut | |
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