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Journal of Clinical Cardiology

ISSN: 2694-5088

Original Research Open Access

Left Atrial Appendage Closure Patients with Same Day Discharge Versus Non-same Day Discharge: Demographics and Outcome Comparisons

Zayd Parekh1,*, Rohan Mylavarapu1, Emily Cox2, Weihai Zhan3, Imdad Ahmed2
  • 1Internal Medicine, Mercyhealth, Rockford, IL, United States
  • 2Mercy Health System, South Barrington, IL, United States
  • 3Office of Research, UIC, Rockford, IL, United States
+ Affiliations - Affiliations

Corresponding Author

Zayd Parekh, zayd@parekhhouse.com

Received Date: November 02, 2025

Accepted Date: December 23, 2025

Citation:

Parekh Z, Mylavarapu R, Cox E, Zhan W, Ahmed I. Left Atrial Appendage Closure Patients with Same Day Discharge Versus Non-same Day Discharge: Demographics and Outcome Comparisons. J Clin Cardiol. 2026;7(1):1–8.


Copyright: © 2026 Parekh Z, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Currently, newer strategies are being implemented regarding WATCHMAN placement in the community hospital, such as same-day discharge (SDD). The safety of this protocol needs to be further assessed.

Objective: The study aimed to evaluate the outcomes of SDD versus non-SDD in patients with nonvalvular atrial fibrillation who underwent WATCHMAN placement by comparing baseline demographics and post-procedure outcomes.

Methods: We retrospectively reviewed four hundred thirty patients who underwent the WATCHMAN procedure in a community hospital between July 2019 and September 2024. Outcomes studied included readmission and mortality rates within thirty days following WATCHMAN placement.

Results: From the 430 patients that were reviewed, 284 patients had non-SDD and 146 had SDD. All-cause readmissions within 30 days of discharge were significantly lower in the SDD group compared to that of the non-SDD (15.8% vs 25.7%, p = 0.02). Additionally, there was a statistically significant difference between the percentage of SDD versus non-SDD patients with thirty-day readmissions due to infectious etiologies (1.37% vs 5.99%; p=0.03).

Conclusion: The all-cause readmission rates of SDD vs non-SDD patients suggests that SDD is a safe and acceptable approach amongst patients undergoing LAAC in the community hospital setting with limited resources.

Keywords

Arrhythmia, Atrial fibrillation, Left atrial appendage closure, Same-day discharge

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Left Atrial Appendage Closure Patients with Same Day Discharge Versus Non-same Day Discharge: Demographics and Outcome Comparisons

Currently, newer strategies are being implemented regarding WATCHMAN placement in the community hospital, such as same-day discharge (SDD). The safety of this protocol needs to be further assessed. The study aimed to evaluate the outcomes of SDD versus non-SDD in patients with nonvalvular atrial fibrillation who underwent WATCHMAN placement by comparing baseline demographics and post-procedure outcomes.

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