Background: The increasing demand for electrophysiological (EP) procedures presents significant organizational, structural, and economic challenges. Reducing peri-procedural hospital stays for selected patients could help optimize resource allocation at ablation centers, improving overall patient care. Methods: We compared all EP procedures performed in 2019 with those conducted in 2021, following the implementation of the new organization model. The comparison focused on several factors, including the duration of hospital stays, procedure-related complications, utilization of pre- and post-procedure remote visit, and the number of in-hospital visits in the year. Results: In our Institution a total of 233 and 223 EP procedures were performed in 2019 and 2021, respectively. We observed a notable decrease in the duration of hospital stays between 2019 and 2021 (median: 3 nights [interquartile range: 2-3] compared to 1 night [0-1], p<0.001). There were no significant differences in the in-hospital and 30-day complication rates between the 2 groups or in the re-hosptalization Conclusions: The management of patients with day-hospital or day-surgery discharge thanks to an organizational model based on telemedicine has proven to be safe with a complication rate comparable to the previous period and the rate of rehospitalizations was also the same.
Associazione Nazionale Medici Cardiologi Ospedalieri
