{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:55:17Z","timestamp":1791449717671,"version":"4.3.3"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Pulmonary vein isolation (PVI) is an effective intervention to treat atrial fibrillation, which is increasingly prevalent. Same-day discharge (SDD) is a strategic approach to limit procedure-related costs. This study aimed to compare healthcare utilization, costs, and clinical outcomes before and after implementation of an SDD protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>This retrospective study included 2987 patients undergoing PVI between 1 January 2016 and 1 April 2021. Baseline characteristics, pre-, peri-, and post-procedure healthcare utilization and clinical outcomes were compared before (cohort A; n = 1379) and after (Cohort B; n = 1608) implementation of the SDD protocol using bivariate and multivariate analyses. show that cohort B vs. cohort A had lower all-cause 90-day mortality (0% vs. 0.3%, P = 0.031), no differences in re-ablation &amp;lt; 1 year (P = 0.286), as well as in complications: bleedings (P = 0.177), tamponade &amp;lt; 30 days (P = 0.157), phrenic nerve injury (P = 0.984), thromboembolic complication &amp;lt; 72 h (P = 0.212), or vascular complications (P = 0.290). In terms of healthcare utilization and costs, cohort B had significantly less peri-procedure hospital admission costs (\u20ac721.52 vs. \u20ac1011.78, P &amp;lt; 0.001) and less total peri- and post-procedure costs (\u20ac840.37 vs. \u20ac1152.94, P &amp;lt; 0.001). Adjusted for all baseline characteristics, the post-implementation cohort showed on average \u20ac315 lower total costs per patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The implementation of the SDD protocol was associated with comparable complication rates while significantly reducing both peri- and post-procedure healthcare utilization and costs, thereby enhancing patient value. This indicates a potential margin for further cost reductions and increased efficiency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euag155","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T11:49:44Z","timestamp":1791373784000},"source":"Crossref","is-referenced-by-count":0,"title":["Improved patient value after implementing same day discharge for patients undergoing pulmonary vein isolation"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6793-9969","authenticated-orcid":false,"given":"Stacey R","family":"Slingerland","sequence":"first","affiliation":[{"name":"Catharina Heart Centre, Catharina Hospital , P.O. Box 1350, Eindhoven 5602 ZA ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9380-9404","authenticated-orcid":false,"given":"Mileen R D","family":"van de Kar","sequence":"additional","affiliation":[{"name":"Catharina Heart Centre, Catharina Hospital , P.O. Box 1350, Eindhoven 5602 ZA ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0713-4402","authenticated-orcid":false,"given":"Jasper","family":"Vermeer","sequence":"additional","affiliation":[{"name":"Catharina Heart Centre, Catharina Hospital , P.O. Box 1350, Eindhoven 5602 ZA ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0411-7014","authenticated-orcid":false,"given":"Gijs J","family":"van Steenbergen","sequence":"additional","affiliation":[{"name":"Catharina Heart Centre, Catharina Hospital , P.O. Box 1350, Eindhoven 5602 ZA ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1016-432X","authenticated-orcid":false,"given":"Daniela N","family":"Schulz","sequence":"additional","affiliation":[{"name":"Catharina Heart Centre, Catharina Hospital , P.O. Box 1350, Eindhoven 5602 ZA ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6108-9203","authenticated-orcid":false,"given":"Dennis","family":"van Veghel","sequence":"additional","affiliation":[{"name":"Catharina Heart Centre, Catharina Hospital , P.O. Box 1350, Eindhoven 5602 ZA ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8166-3716","authenticated-orcid":false,"given":"Lukas","family":"Dekker","sequence":"additional","affiliation":[{"name":"Catharina Heart Centre, Catharina Hospital , P.O. 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