Temporal Trends and Outcomes of Same-Day Discharge After Left Atrial Appendage Occlusion: Insight from National Readmission Database

On multivariate regression analysis, same-day discharge was associated with decreased total cost of hospitalization of (−$4,070, 95% confidence interval −6,810 to −1,330, p = 0.004), relative to late-discharge group. Later, a retrospective study from a single-center tertiary hospital from 2016 to 2019 with same day versus delayed discharge on 72 versus 118 patients, respectively, without procedural complications have found no significant difference in a composite of stroke, systemic embolism, major bleeding, vascular complications, or procedure-related death.4 The present nationwide study confirmed the aforementioned results in a larger cohort, representative of the population in the United States with 621 patients in the same-day discharge group. Given the advanced age of patients who undergo LAAO, it is important to consider social and environmental factors of patients and their ability to identify and convey subjective symptoms of associated procedure-related complications in the decision for same day versus delayed discharge.