In:
PLOS ONE, Public Library of Science (PLoS), Vol. 16, No. 8 ( 2021-8-10), p. e0255721-
Abstract:
To evaluate factors influencing the length of stay in patients undergoing percutaneous left atrial appendage occlusion (LAAO). Methods and results Patient characteristics, procedural data and the occurrence of serious adverse events were analyzed from the Amplatzer TM Amulet TM Occluder Observational Study. Patients were divided into three groups: same day (S, 0day, n = 60, 5.6%) early (E, 1day, n = 526, 48.9%), regular (R, 2-3days, n = 338, 31.4%) and late (L, ≥4days, n = 152, 14.1%) discharge and followed up for 60 days. Procedure and device related SAE during the in-hospital stay (S: 0.0% vs. E: 1.0% vs. R: 2.1% vs. L: 23%, p 〈 0.0001) were a major trigger for a prolonged in-hospital stay. Of the 37 subjects in the late discharge group with an SAE prior to discharge, cardiac or bleeding complications were the most common underlying conditions, occurring in 26 subjects. Multinomial logistic analysis only identified HAS-BLED score as an independent influencing factor (p = 0.04) for a late discharge. After 60 days, mortality tended to be greatest in the late discharge group (S: 0.0% vs. E: 1.0% vs. R: 1.2% vs. L: 3.3%, p = 0.1066). Conclusion Over half of the subjects receiving an Amplatzer Amulet occluder were discharged within 1 day of the implant procedure. Serious adverse events were a major trigger for a late discharge after LAAO. Increased HAS-BLED score was associated with a prolonged in-hospital stay.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0255721
DOI:
10.1371/journal.pone.0255721.g001
DOI:
10.1371/journal.pone.0255721.g002
DOI:
10.1371/journal.pone.0255721.g003
DOI:
10.1371/journal.pone.0255721.g004
DOI:
10.1371/journal.pone.0255721.t001
DOI:
10.1371/journal.pone.0255721.t002
DOI:
10.1371/journal.pone.0255721.t003
DOI:
10.1371/journal.pone.0255721.s001
DOI:
10.1371/journal.pone.0255721.s002
DOI:
10.1371/journal.pone.0255721.s003
DOI:
10.1371/journal.pone.0255721.s004
DOI:
10.1371/journal.pone.0255721.s005
DOI:
10.1371/journal.pone.0255721.r001
DOI:
10.1371/journal.pone.0255721.r002
DOI:
10.1371/journal.pone.0255721.r003
DOI:
10.1371/journal.pone.0255721.r004
DOI:
10.1371/journal.pone.0255721.r005
DOI:
10.1371/journal.pone.0255721.r006
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2021
detail.hit.zdb_id:
2267670-3
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