PDF(Pubmed)
Abstract：
Electrophysiological (EP) operations that have traditionally involved long hospital lengths of stay (LOS) are now being undertaken as day case procedures. The coronavirus disease-19 pandemic served as an impetus for many centres to shorten LOS for EP procedures. This survey explores LOS for elective EP procedures in the modern era.
An online survey consisting of 27 multiple-choice questions was completed by 245 respondents from 35 countries. With respect to de novo cardiac implantable electronic device (CIED) implantations, day case procedures were reported for 79.5% of implantable loop recorders, 13.3% of pacemakers (PMs), 10.4% of implantable cardioverter defibrillators (ICDs), and 10.2% of cardiac resynchronization therapy (CRT) devices. With respect to CIED generator replacements, day case procedures were reported for 61.7% of PMs, 49.2% of ICDs, and 48.2% of CRT devices. With regard to ablations, day case procedures were reported for 5.7% of atrial fibrillation (AF) ablations, 10.7% of left-sided ablations, and 17.5% of right-sided ablations. A LOS ≥ 2 days for CIED implantation was reported for 47.7% of PM, 54.5% of ICDs, and 56.9% of CRT devices and for 54.5% of AF ablations, 42.2% of right-sided ablations, and 46.1% of left-sided ablations. Reimbursement (43-56%) and bed availability (20-47%) were reported to have no consistent impact on the organization of elective procedures.
There is a wide variation in the LOS for elective EP procedures. The LOS for some procedures appears disproportionate to their complexity. Neither reimbursement nor bed availability consistently influenced LOS.
An online survey consisting of 27 multiple-choice questions was completed by 245 respondents from 35 countries. With respect to de novo cardiac implantable electronic device (CIED) implantations, day case procedures were reported for 79.5% of implantable loop recorders, 13.3% of pacemakers (PMs), 10.4% of implantable cardioverter defibrillators (ICDs), and 10.2% of cardiac resynchronization therapy (CRT) devices. With respect to CIED generator replacements, day case procedures were reported for 61.7% of PMs, 49.2% of ICDs, and 48.2% of CRT devices. With regard to ablations, day case procedures were reported for 5.7% of atrial fibrillation (AF) ablations, 10.7% of left-sided ablations, and 17.5% of right-sided ablations. A LOS ≥ 2 days for CIED implantation was reported for 47.7% of PM, 54.5% of ICDs, and 56.9% of CRT devices and for 54.5% of AF ablations, 42.2% of right-sided ablations, and 46.1% of left-sided ablations. Reimbursement (43-56%) and bed availability (20-47%) were reported to have no consistent impact on the organization of elective procedures.
There is a wide variation in the LOS for elective EP procedures. The LOS for some procedures appears disproportionate to their complexity. Neither reimbursement nor bed availability consistently influenced LOS.
摘要：
目的：传统上涉及长期住院时间（LOS）的电生理（EP）手术现在作为日常病例程序进行。冠状病毒病(COVID)-19大流行推动了许多中心缩短EP程序的LOS。这项调查探讨了现代选修EP程序的LOS。
结果：来自35个国家的245名受访者完成了一项由27个多项选择题组成的在线调查。关于新心脏可植入电子设备(CIED)的植入，79.5%的植入式环路记录仪报告了每日病例程序，13.3%的PM，植入式心脏复律除颤器（ICD）的10.4％和CRT设备的10.2％。关于TOCIED发电机更换，报告了61.7%的PM的日间病例程序，49.2％的ICD和48.2％的CRT设备。关于消融，据报道，5.7%的房颤(AF)消融的日间病例手术，左侧消融为10.7%，右侧消融为17.5%。据报道，47.7％的PM植入的LOS≥2天，54.5%的ICD和56.9%的CRT设备;54.5%的AF消融,右侧消融的42.2%和左侧消融的46.1%。据报道，报销（43-56％）和床位可用性（20-47％）对选修程序的组织没有一致的影响。
结论：选择性EP程序的LOS差异很大。某些程序的LOS似乎与其复杂性不成比例。报销或床位可用性均未持续影响LOS。
结果：来自35个国家的245名受访者完成了一项由27个多项选择题组成的在线调查。关于新心脏可植入电子设备(CIED)的植入，79.5%的植入式环路记录仪报告了每日病例程序，13.3%的PM，植入式心脏复律除颤器（ICD）的10.4％和CRT设备的10.2％。关于TOCIED发电机更换，报告了61.7%的PM的日间病例程序，49.2％的ICD和48.2％的CRT设备。关于消融，据报道，5.7%的房颤(AF)消融的日间病例手术，左侧消融为10.7%，右侧消融为17.5%。据报道，47.7％的PM植入的LOS≥2天，54.5%的ICD和56.9%的CRT设备;54.5%的AF消融,右侧消融的42.2%和左侧消融的46.1%。据报道，报销（43-56％）和床位可用性（20-47％）对选修程序的组织没有一致的影响。
结论：选择性EP程序的LOS差异很大。某些程序的LOS似乎与其复杂性不成比例。报销或床位可用性均未持续影响LOS。
