Day-case device implantation-A prospective single-center experience including patient satisfaction data

Area of Science:

• Cardiology
• Medical Devices
• Health Economics

Background:

• Day-case implantation of cardiac rhythm management (CRM) devices is increasingly performed.
• Prospective data on the safety, efficacy, and patient satisfaction of this approach are limited.

Purpose of the Study:

• To prospectively evaluate the feasibility and outcomes of day-case CRM device implantation.
• To assess patient satisfaction with same-day discharge following elective CRM device implantation.

Main Methods:

• A prospective single-center study included elective CRM device implantation patients.
• Exclusion criteria focused on patient vulnerability and specific medical conditions.
• Patients were reviewed at 6 weeks with an anonymized questionnaire.

Main Results:

• Of 232 elective CRM implants, 101 were planned as day-case procedures.
• Complication rates were similar between day-case (12%) and overnight stay (11%) groups.
• 92% of day-case patients went home the same day, with 98% reporting high satisfaction.

Conclusions:

• A significant proportion of elective CRM device implants can be safely performed as day-case procedures.
• Appropriate patient selection is key to achieving high acceptability of same-day discharge.
• Day-case CRM implantation offers potential for significant cost savings through reduced bed occupancy.