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AP-519-01 A MULTIDISCIPLINARY APPROACH TO SAME DAY DISCHARGE OF PATIENTS POST ATRIAL FIBRILLATION ABLATION
Heart Rhythm ; 19(5):S89, 2022.
Article in English | EMBASE | ID: covidwho-1867190
ABSTRACT

Background:

The COVID-19 pandemic created an increased need for inpatient hospital beds. This need along with advances in AF ablation technology led us to develop a program to discharge patients the same day as their AF ablation.

Objective:

To develop and implement a protocol to allow safe Same Day Discharge (SDD) of eligible patients after AF ablation.

Methods:

A multi-disciplinary team of providers and nurses developed an institutional-wide protocol to identify patients for safe SDD. Eligibility was based on comorbidities, home support, and distance from hospital. Adjusted procedural workflow included use of vascular closure devices to decrease bedrest time, avoidance of urinary catheters, and careful monitoring of volume status. A post discharge automated call system was developed to trigger nurse-level outreach to identify and treat potential post-operative complications. A retrospective analysis was performed to review enrollment and complications to ensure safety of the program.

Results:

SDD for AF ablation was performed in 113 patients in 2020. There was 1 complication in the immediate post-op period due to traumatic foley insertion, 1 visit to urgent care for pericarditis, and 1 hospital readmission within 30 days due to volume overload;a total complication rate of 2.7%. There was no mortality observed and no major complications. Average general anesthesia time was 168.7 +/- 58.5min and average procedural time (vascular access to reversal) was 105.6 +/- 53.1 min.

Conclusion:

A safe and effective same day discharge program was developed for patients undergoing AF ablation by a multidisciplinary team. This program resulted in improved patient satisfaction and had favorable impacts on healthcare utilization. [Formula presented]
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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Heart Rhythm Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Heart Rhythm Year: 2022 Document Type: Article