PO-02-171 CLINICAL, HEALTHCARE UTILIZATION AND ECONOMIC IMPACT OF SAME DAY DISCHARGE FOLLOWING ATRIAL FIBRILLATION ABLATION

Emerging research has suggested that same day discharge after atrial fibrillation (AF) ablation can be safe in appropriately selected patients. As such, AF is becoming increasingly common. We sought to determine the clinical and economic impact of (SDD) vs. non-same (NSDD) following ablation. Patients ≥18 years age undergoing at Intermountain Health from January 1, 2018 July 22, 2022 (n = 2935) were identified. These patients stratified propensity-matched by length stay ≥12 hours (NSDD, n 1118) <12 (SDD, n= 1118). Primary outcome measures included: death, hospitalization, heart failure (HF) hospitalization stroke. healthcare utilization visit costs, outpatient, emergency department (ED), inpatient visits costs 3, 6 12-mo post Baseline characteristics prior propensity-matching showed SDD group younger male with a lower incidence hypertension, failure, COPD. Following baseline similar between groups. There was decrease HF hospitalizations vs NSDD groups [HR 0.67 (0.50, 0.90), p=0.007]. No difference or stroke Healthcare shown Table. The total cost index compared NSDD. Furthermore, number ED overall these not different data demonstrate associated negative outcomes. reduces without concomitant increases subsequent out 1-year