{"id":"https://openalex.org/W4293247341","doi":"https://doi.org/10.1161/circ.144.suppl_1.12996","title":"Abstract 12996: Prospective Study of Patient Reported Outcomes and Costs Associated With Same Day Discharge and Vascular Closure for Atrial Fibrillation Ablation","display_name":"Abstract 12996: Prospective Study of Patient Reported Outcomes and Costs Associated With Same Day Discharge and Vascular Closure for Atrial Fibrillation Ablation","publication_year":2021,"publication_date":"2021-11-16","ids":{"openalex":"https://openalex.org/W4293247341","doi":"https://doi.org/10.1161/circ.144.suppl_1.12996"},"language":"en","primary_location":{"id":"doi:10.1161/circ.144.suppl_1.12996","doi":"https://doi.org/10.1161/circ.144.suppl_1.12996","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circ.144.suppl_1.12996","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014706132","display_name":"Benjamin Adam Steinberg","orcid":"https://orcid.org/0000-0002-4729-7820","observed_orcids":["https://orcid.org/0000-0002-4729-7820"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Benjamin A Steinberg","raw_affiliation_strings":["Univ of Utah, Salt Lake City, UT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Utah, Salt Lake City, UT","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005358454","display_name":"Shannon Woolley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shannon Woolley","raw_affiliation_strings":["Univ of Utah, Salt Lake City, UT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Utah, Salt Lake City, UT","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036982583","display_name":"Haojia Li","orcid":"https://orcid.org/0000-0002-1295-4341","observed_orcids":["https://orcid.org/0000-0002-1295-4341"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"HAOJIA LI","raw_affiliation_strings":["Univ of Utah, Salt Lake City, UT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Utah, Salt Lake City, UT","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070044995","display_name":"Chase Maires","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Chase Maires","raw_affiliation_strings":["Univ of Utah, Salt Lake City, UT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Utah, Salt Lake City, UT","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002424349","display_name":"Christopher A. Groh","orcid":"https://orcid.org/0000-0001-8539-4333","observed_orcids":["https://orcid.org/0000-0001-8539-4333"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher Groh","raw_affiliation_strings":["Univ of Utah, Salt Lake City, UT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Utah, Salt Lake City, UT","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016638225","display_name":"Leenhapong Navaravong","orcid":"https://orcid.org/0000-0001-7087-1707","observed_orcids":["https://orcid.org/0000-0001-7087-1707"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]},{"id":"https://openalex.org/I4210148268","display_name":"University of Utah Health Care","ror":"https://ror.org/047s7ex42","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210148268"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Leenhapong Navaravong","raw_affiliation_strings":["Univ of Utah Health, Salt lake City, UT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Utah Health, Salt lake City, UT","institution_ids":["https://openalex.org/I223532165","https://openalex.org/I4210148268"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074809926","display_name":"Ravi Ranjan","orcid":"https://orcid.org/0000-0002-3321-2435","observed_orcids":["https://orcid.org/0000-0002-3321-2435"]},"institutions":[{"id":"https://openalex.org/I2803026726","display_name":"University of Utah Hospital","ror":"https://ror.org/03b436430","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2803026726"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ravi Ranjan","raw_affiliation_strings":["UNIVERSITY UTAH HOSPITAL, Salt Lake Cty, UT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UNIVERSITY UTAH HOSPITAL, Salt Lake Cty, UT","institution_ids":["https://openalex.org/I2803026726"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100333785","display_name":"Yue Zhang","orcid":"https://orcid.org/0000-0002-4124-4816","observed_orcids":["https://orcid.org/0000-0002-4124-4816","https://orcid.org/0000-0002-1218-9926"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yue Zhang","raw_affiliation_strings":["Univ of Utah, Salt Lake City, UT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Utah, Salt Lake City, UT","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053399122","display_name":"Thomas Jared Bunch","orcid":"https://orcid.org/0000-0001-5349-0136","observed_orcids":["https://orcid.org/0000-0001-5349-0136"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"T. J Bunch","raw_affiliation_strings":["Univ of Utah Sch of Med, Salt Lake Cty, UT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Utah Sch of Med, Salt Lake Cty, UT","institution_ids":["https://openalex.org/I223532165"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"144","issue":"Suppl_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11554","display_name":"Vascular Procedures and Complications","score":0.00430000014603138,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/atrial-fibrillation-ablation","display_name":"atrial fibrillation ablation","score":0.9570000171661377},{"id":"https://openalex.org/keywords/same-day-discharge","display_name":"same-day discharge","score":0.8629999756813049},{"id":"https://openalex.org/keywords/vascular-closure-devices","display_name":"vascular closure devices","score":0.949999988079071},{"id":"https://openalex.org/keywords/compression-hemostasis","display_name":"compression hemostasis","score":0.9200000166893005},{"id":"https://openalex.org/keywords/patient-reported-outcomes","display_name":"patient-reported outcomes","score":0.9259999990463257},{"id":"https://openalex.org/keywords/health-system-costs","display_name":"health system costs","score":0.8040000200271606},{"id":"https://openalex.org/keywords/post-procedural-bleeding","display_name":"post-procedural bleeding","score":0.5019999742507935},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.8259999752044678},{"id":"https://openalex.org/keywords/implant-costs","display_name":"implant costs","score":0.546999990940094}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9640903472900391},{"id":"https://openalex.org/C2779161974","wikidata":"https://www.wikidata.org/wiki/Q815819","display_name":"Atrial fibrillation","level":2,"score":0.7502886056900024},{"id":"https://openalex.org/C2779495589","wikidata":"https://www.wikidata.org/wiki/Q7916451","display_name":"Vascular closure device","level":3,"score":0.7470232844352722},{"id":"https://openalex.org/C2778589496","wikidata":"https://www.wikidata.org/wiki/Q487937","display_name":"Hemostasis","level":2,"score":0.6127455830574036},{"id":"https://openalex.org/C2778902805","wikidata":"https://www.wikidata.org/wiki/Q322177","display_name":"Ablation","level":2,"score":0.5861228704452515},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.494625061750412},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.47011080384254456},{"id":"https://openalex.org/C146834321","wikidata":"https://www.wikidata.org/wiki/Q2979672","display_name":"Closure (psychology)","level":2,"score":0.4696093499660492},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4280402958393097},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4271024465560913},{"id":"https://openalex.org/C2777466421","wikidata":"https://www.wikidata.org/wiki/Q1266890","display_name":"Vascular disease","level":2,"score":0.41490742564201355},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.41125309467315674},{"id":"https://openalex.org/C34447519","wikidata":"https://www.wikidata.org/wiki/Q179522","display_name":"Market economy","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circ.144.suppl_1.12996","doi":"https://doi.org/10.1161/circ.144.suppl_1.12996","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circ.144.suppl_1.12996","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.4099999964237213,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4281257774","https://openalex.org/W4281251657","https://openalex.org/W4399356021","https://openalex.org/W4380422556","https://openalex.org/W4377016111","https://openalex.org/W3165315541","https://openalex.org/W7213432511","https://openalex.org/W7223567779","https://openalex.org/W3135319012","https://openalex.org/W4388561976"],"abstract_inverted_index":{"Introduction:":[0],"Overnight":[1],"stay":[2,257],"after":[3,278],"ablation":[4,42,63,109,247,264,280],"for":[5,18,40,80,107,218,246,255,262],"atrial":[6],"fibrillation":[7],"(AF)":[8],"is":[9],"standard":[10],"practice,":[11],"in":[12,48,55,149,268,296],"part":[13],"driven":[14],"by":[15,68],"the":[16,198],"need":[17],"bedrest":[19,170],"required":[20],"to":[21,26,61,89],"maintain":[22],"hemostasis.":[23],"We":[24],"aimed":[25],"measure":[27],"patient":[28,151,167,266],"reported":[29],"outcomes":[30],"(PROs)":[31],"and":[32,43,142,176,234,276,292],"costs":[33,79,240,245],"associated":[34,228],"with":[35,64,92,116,169,177,195,206,224,229],"same":[36],"day":[37],"discharge":[38,161],"(SDD)":[39],"AF":[41,62,108,263,279],"vascular":[44,70,84,104,135,153,158,189,196,225,274],"closure":[45,72,86,99,106,137,154,197,226,261,275],"device":[46,71,85,105,136,155],"implantation":[47],"clinical":[49,270],"practice.":[50],"Methods:":[51],"PROs":[52],"were":[53,87,183,204,248],"measured":[54],"50":[56],"patients":[57,82,133,187,194],"prospectively":[58],"enrolled":[59],"prior":[60],"post":[65],"procedure":[66],"treatment":[67],"complete":[69],"(n=25)":[73],"versus":[74],"compression":[75],"hemostasis":[76],"(n=25).":[77],"Health-system":[78],"SDD":[81,223,277],"receiving":[83,103,134,152,188],"compared":[88],"matched":[90,221],"controls":[91],"one-night":[93],"stays":[94],"who":[95],"did":[96],"not":[97,249],"receive":[98],"devices.":[100],"Results:":[101],"Patients":[102],"had":[110],"mean":[111,117,199,208],"age":[112,200],"65,":[113],"17%":[114],"female,":[115,205],"CHA":[118,209],"2":[119,121,210,212,216],"DS":[120,211],"-VASc":[122,213],"score":[123,214],"3.":[124],"Mean":[125],"number":[126],"of":[127,147,215,273,284],"venous":[128],"sheaths":[129],"was":[130,144,201,227],"higher":[131,185,238],"among":[132,186],"(3.8":[138],"vs.":[139,164,173,180,220],"3.1,":[140],"p<0.001),":[141,166],"there":[143],"1":[145],"case":[146],"re-bleeding":[148],"a":[150,207],"(no":[156],"other":[157],"complications).":[159],"Same-day":[160],"rates":[162],"(76%":[163],"8.3%,":[165],"satisfaction":[168],"time":[171],"(8.5":[172],"6,":[174],"p=0.004)":[175],"pain":[178],"(8":[179],"5.1,":[181],"p=0.009)":[182],"significantly":[184,230],"closure.":[190],"For":[191],"health-system":[192],"costs,":[193,236,287],"66,":[202],"36%":[203],"(p=NS":[217],"each":[219],"controls).":[222],"lower":[231],"facility,":[232],"pharmacy,":[233],"disposable":[235],"but":[237],"implant":[239],"(":[241],"Table":[242],").":[243],"Overall":[244],"different":[250],"based":[251],"on":[252],"conservative":[253],"estimates":[254],"overnight":[256],"costs.":[258],"Conclusions:":[259],"Vascular":[260],"improves":[265],"experience":[267],"routine":[269],"care.":[271],"Use":[272],"reduces":[281],"several":[282],"components":[283],"health":[285],"system":[286],"without":[288],"an":[289],"overall":[290],"increase,":[291],"may":[293],"be":[294],"cost-saving":[295],"comparative":[297],"healthcare":[298],"systems.":[299]},"counts_by_year":[],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2022-08-27T00:00:00"}