FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4377015502> ?p ?o ?g. }

• W4377015502 endingPage "S487" @default.
• W4377015502 startingPage "S486" @default.
• W4377015502 abstract "Prior studies have demonstrated the safety of same day discharge in appropriately selected patients undergoing CIED implantation though a limitation is the requirement for prolonged post-operative observation. There is limited data on whether expedited discharge pathways, which can reduce post-operative resource utilization, can offer comparably safe outcomes. To evaluate outcomes of an expedited same day discharge (SDD) protocol across the hospitals. All patients undergoing pacemaker and ICD implantation between 2018-2021 at three hospitals were identified. The post-operative pathway for SDD included a two-hour (1) PA/lateral chest x-ray (2) device interrogation including set up for remote monitoring and (3) bedside evaluation. This protocol was implemented over the study period and use was at physician discretion. Patients’ sociodemographics, comorbidities, and procedure were retrospectively collected. Outcomes included 30-days post-implant unplanned healthcare utilization (urgent care, emergency department, or hospital visits) as well as 90-day infections. Differences between SDD versus not same day discharge patients were assessed using chi-square test for categorical variables and t-test for continuous variables. Multivariate logistic regression analysis was used to evaluate the association between discharge grouping and outcomes of interest. Between 2018-2021, 4872 patients underwent CIED implantation and 28.3% were discharged same day. As summarized in Table 1, compared to SDD, patients not discharged on the same day were older, more likely to be female, and had a higher incidence of comorbidities including hypertension, diabetes mellitus, stroke, and heart failure. Among patients discharged on the same day, the mean time to chest x-ray post-operatively was 2.8 (SD±1.8) hours. Adjusting for the baseline characteristics, SDD patients had signficantly lower 30-day unplanned healthcare utilization (AOR: 0.49 95%CI: 0.40-0.59), complications (AOR: 0.60 95%CI: 0.38-0.93) and mortality (AOR: 0.19 95%CI: 0.06-0.62). Additionally, 90-day infection rates were not significantly different based on discharge grouping. An expedited SDD protocol using a two-hour post-implant evaluation protocol in appropriately selected patients appears to be safe without an increase in adverse events compared to patients hospitalized post-operatively for extended observation. Further investigation to define patient selection criteria is warranted." @default.
• W4377015502 created "2023-05-19" @default.
• W4377015502 creator A5003433096 @default.
• W4377015502 creator A5012324498 @default.
• W4377015502 creator A5019553420 @default.
• W4377015502 creator A5024412836 @default.
• W4377015502 creator A5033521436 @default.
• W4377015502 creator A5036001838 @default.
• W4377015502 creator A5039408518 @default.
• W4377015502 creator A5073853991 @default.
• W4377015502 date "2023-05-01" @default.
• W4377015502 modified "2023-10-01" @default.
• W4377015502 title "PO-03-051 EXPEDITED SAME DAY DISCHARGE PROTOCOL IS SAFE FOR PATIENTS UNDERGOING CARDIAC IMPLANTABLE ELECTRONIC DEVICE (CIED) IMPLANTATION" @default.
• W4377015502 doi "https://doi.org/10.1016/j.hrthm.2023.03.1054" @default.
• W4377015502 hasPublicationYear "2023" @default.
• W4377015502 type Work @default.
• W4377015502 citedByCount "0" @default.
• W4377015502 crossrefType "journal-article" @default.
• W4377015502 hasAuthorship W4377015502A5003433096 @default.
• W4377015502 hasAuthorship W4377015502A5012324498 @default.
• W4377015502 hasAuthorship W4377015502A5019553420 @default.
• W4377015502 hasAuthorship W4377015502A5024412836 @default.
• W4377015502 hasAuthorship W4377015502A5033521436 @default.
• W4377015502 hasAuthorship W4377015502A5036001838 @default.
• W4377015502 hasAuthorship W4377015502A5039408518 @default.
• W4377015502 hasAuthorship W4377015502A5073853991 @default.
• W4377015502 hasBestOaLocation W43770155021 @default.
• W4377015502 hasConcept C118552586 @default.
• W4377015502 hasConcept C120665830 @default.
• W4377015502 hasConcept C121332964 @default.
• W4377015502 hasConcept C126322002 @default.
• W4377015502 hasConcept C134018914 @default.
• W4377015502 hasConcept C151956035 @default.
• W4377015502 hasConcept C194828623 @default.
• W4377015502 hasConcept C2780724011 @default.
• W4377015502 hasConcept C38180746 @default.
• W4377015502 hasConcept C555293320 @default.
• W4377015502 hasConcept C61511704 @default.
• W4377015502 hasConcept C71924100 @default.
• W4377015502 hasConceptScore W4377015502C118552586 @default.
• W4377015502 hasConceptScore W4377015502C120665830 @default.
• W4377015502 hasConceptScore W4377015502C121332964 @default.
• W4377015502 hasConceptScore W4377015502C126322002 @default.
• W4377015502 hasConceptScore W4377015502C134018914 @default.
• W4377015502 hasConceptScore W4377015502C151956035 @default.
• W4377015502 hasConceptScore W4377015502C194828623 @default.
• W4377015502 hasConceptScore W4377015502C2780724011 @default.
• W4377015502 hasConceptScore W4377015502C38180746 @default.
• W4377015502 hasConceptScore W4377015502C555293320 @default.
• W4377015502 hasConceptScore W4377015502C61511704 @default.
• W4377015502 hasConceptScore W4377015502C71924100 @default.
• W4377015502 hasIssue "5" @default.
• W4377015502 hasLocation W43770155021 @default.
• W4377015502 hasOpenAccess W4377015502 @default.
• W4377015502 hasPrimaryLocation W43770155021 @default.
• W4377015502 hasRelatedWork W1563850031 @default.
• W4377015502 hasRelatedWork W2026095104 @default.
• W4377015502 hasRelatedWork W2275480158 @default.
• W4377015502 hasRelatedWork W2357713412 @default.
• W4377015502 hasRelatedWork W2415759662 @default.
• W4377015502 hasRelatedWork W2560762415 @default.
• W4377015502 hasRelatedWork W2889504422 @default.
• W4377015502 hasRelatedWork W2986237400 @default.
• W4377015502 hasRelatedWork W4225911821 @default.
• W4377015502 hasRelatedWork W4238308949 @default.
• W4377015502 hasVolume "20" @default.
• W4377015502 isParatext "false" @default.
• W4377015502 isRetracted "false" @default.
• W4377015502 workType "article" @default.