J Transcat Intervent.2021;29:eA202104.
Same-day hospital discharge after percutaneous coronary intervention: management, safety and satisfaction of the patient
DOI: 10.31160/JOTCI202129A202104
Percutaneous coronary intervention (PCI) became the most frequent modality of revascularization to treat coronary artery disease. Historically, most patients undergoing elective PCI remained hospitalized, overnight or more, aiming to detect and possible peri- and post-procedural complications, including access site complications, bleeding, stent thrombosis and peri-procedural myocardial infarction (MI).Currently, there is a demand for a simplified and efficient out-hospital flow, keeping the best practices in hospital services and patient care. Overtime, the improvement of PCI techniques, combined with technological advancement of devices (e.g. guidewires, stents and intravascular imaging-guidance), and the efficacy of adjuvant medication, improved substantially the safety and rate of procedure success, by reducing complications and consequently shortening in-hospital stay.–
While the adoption of technological advances allowed a significant increase in the number of PCI indication, it also resulted in higher institutional costs per patient. Aiming to optimize the in-hospital stay of the patient, the same-day discharge (SDD) strategy was developed. Same-day discharge is part of a hospital management policies cost-containment logistics maintaining that includes clinical effectiveness, safety and satisfaction of the patients undergoing to PCI.– Same-day discharge safety has been evaluated in many small randomized controlled trials,– observational studies,– and meta-analyses.,Even thought, there are bold evidences coming from general elective-PCI studies, still, there are limited data on the clinical and angiographic characteristics associated with the successful practice of SDD.
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