Why the study?
Does same-day discharge after elective PCI by femoral approach prevent complications compared to overnight hospital stay?
Population
800 consecutive patients scheduled for elective percutaneous coronary intervention (PCI) by femoral approach
Comparison
Same-day discharge vs Overnight hospital stay after PCI
Design
RCT, Randomized to same-day discharge or overnight hospital stay
Follow-up
24 hours
Key result
Same-day discharge after elective PCI was noninferior to overnight stay for the composite of death, MI, CABG, repeat PCI, or puncture complications at 24 hours (P<0.0001 for noninferiority).
Authors
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Supports same-day discharge after elective femoral PCI; extends randomized evidence for this strategy.
RCT (n=800)
randomized
Does same-day discharge after elective PCI by femoral approach prevent complications compared to overnight hospital stay?
Effect estimate: risk difference -0.020 (95% CI -0.045 to -0.004)
Absolute Event Rate: 2.2% vs 4.2%
p-value: p=<0.0001 for noninferiority
Same-day discharge after elective PCI via femoral approach is feasible and non-inferior to overnight stay for 24-hour safety outcomes.
Heyde et al. (2007) conducted an RCT in elective PCI by femoral approach (n=800). Same-day discharge vs. Overnight hospital stay was evaluated on death, myocardial infarction, coronary artery bypass graft surgery, repeat PCI, or puncture-related complications occurring within 24 hours after PCI (risk difference -0.020, 95% CI -0.045 to -0.004, p=<0.0001 for noninferiority). Same-day discharge after elective PCI was noninferior to overnight stay for the composite of death, MI, CABG, repeat PCI, or puncture complications at 24 hours (P<0.0001 for noninferiority).
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