What is the clinical evidence from this study?

Study design: Cohort. Population: Elective percutaneous coronary intervention (n=672470). Intervention: Same-day discharge vs. Non-same-day discharge. Primary outcome: Death, bleeding requiring a blood transfusion, AKI, AMI, and costs at 30, 90, or 365 days after PCI (Cost savings $5128, 95% CI $5006-$5248).

September 29, 2018JAMA CardiologyOpen Access

Same-day discharge after elective PCI was associated with no higher risk of death, bleeding, AKI, or AMI, and resulted in cost savings of $5128 per procedure (95% CI, $5006-$5248).

View Full Paper

Ask AI

Bookmark

Why the study?

Does same-day discharge after elective PCI reduce hospital costs without increasing adverse clinical outcomes compared to non-same-day discharge?

Population

672,470 patients enrolled in the nationally representative Premier Healthcare Database who underwent…

Comparison

Same-day discharge, defined by identical dates… vs Non-same-day discharge after elective PCI.

Design

Cohort

Follow-up

1 year

Key result

Same-day discharge after elective PCI was associated with no higher risk of death, bleeding, AKI, or AMI, and resulted in cost savings of $5128 per procedure (95% CI, $5006-$5248).

Authors

AAAmit P. Amin DPDuane S. Pinto JHJohn A. House

Discussion

Member takes

Overview

May support expanded same-day discharge after elective PCI for cost savings; leaves open need for randomized confirmation of safety.

Study Design

Type

Cohort (n=672,470)

Multicenter

Yes

Structured PICO

Does same-day discharge after elective PCI reduce hospital costs without increasing adverse clinical outcomes compared to non-same-day discharge?

Population

672,470 patients undergoing elective PCI across 493 US hospitals between 2006 and 2015, followed for 1 year.

Exposure

Same-day discharge (SDD), defined by identical dates of admission, PCI procedure, and discharge.

Comparator

Non-same-day discharge (non-SDD) after elective PCI.

Outcome

Death, bleeding requiring a blood transfusion, acute kidney injury (AKI), acute myocardial infarction (AMI) at 30, 90, or 365 days after PCI, and costs from hospitals' perspective.hard clinical

Main Result

Effect estimate: Cost savings $5128 (95% CI $5006-$5248)

Same-day discharge after elective PCI is safe and associated with significant cost savings, yet it remains underutilized with substantial hospital-level variation in the United States.

Limitations

Residual confounding may be present, limiting the precision of the cost estimates.
Residual confounding may be present, limiting the precision of the cost estimates

Cite This Study

Amin et al. (2018) conducted a cohort in Elective percutaneous coronary intervention (n=672,470). Same-day discharge vs. Non-same-day discharge was evaluated on Death, bleeding requiring a blood transfusion, AKI, AMI, and costs at 30, 90, or 365 days after PCI (Cost savings $5128, 95% CI $5006-$5248). Same-day discharge after elective PCI was associated with no higher risk of death, bleeding, AKI, or AMI, and resulted in cost savings of $5128 per procedure (95% CI, $5006-$5248).

synapsesocial.com/papers/6a3271a4cf42d9fde8dddd29 https://doi.org/10.1001/jamacardio.2018.3029

View Full Paper

Ask AI

Bookmark

September 29, 2018JAMA CardiologyOpen Access

Same-day discharge after elective PCI was associated with no higher risk of death, bleeding, AKI, or AMI, and resulted in cost savings of $5128 per procedure (95% CI, $5006-$5248).

View Full Paper

Ask AI

Bookmark

Why the study?

Does same-day discharge after elective PCI reduce hospital costs without increasing adverse clinical outcomes compared to non-same-day discharge?

Population

672,470 patients enrolled in the nationally representative Premier Healthcare Database who underwent…

Comparison

Same-day discharge, defined by identical dates… vs Non-same-day discharge after elective PCI.

Design

Cohort

Follow-up

1 year

Key result

Same-day discharge after elective PCI was associated with no higher risk of death, bleeding, AKI, or AMI, and resulted in cost savings of $5128 per procedure (95% CI, $5006-$5248).

Authors

AAAmit P. Amin DPDuane S. Pinto JHJohn A. House

Discussion

Member takes

Overview

May support expanded same-day discharge after elective PCI for cost savings; leaves open need for randomized confirmation of safety.

Study Design

Type

Cohort (n=672,470)

Multicenter

Yes

Structured PICO

Does same-day discharge after elective PCI reduce hospital costs without increasing adverse clinical outcomes compared to non-same-day discharge?

Population

672,470 patients undergoing elective PCI across 493 US hospitals between 2006 and 2015, followed for 1 year.

Exposure

Same-day discharge (SDD), defined by identical dates of admission, PCI procedure, and discharge.

Comparator

Non-same-day discharge (non-SDD) after elective PCI.

Outcome

Death, bleeding requiring a blood transfusion, acute kidney injury (AKI), acute myocardial infarction (AMI) at 30, 90, or 365 days after PCI, and costs from hospitals' perspective.hard clinical

Main Result

Effect estimate: Cost savings $5128 (95% CI $5006-$5248)

Same-day discharge after elective PCI is safe and associated with significant cost savings, yet it remains underutilized with substantial hospital-level variation in the United States.

Limitations

Residual confounding may be present, limiting the precision of the cost estimates.
Residual confounding may be present, limiting the precision of the cost estimates

Cite This Study

synapsesocial.com/papers/6a3271a4cf42d9fde8dddd29 https://doi.org/10.1001/jamacardio.2018.3029

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

View Full Paper

Ask AI

Bookmark