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October 5, 2011JAMA

Same-day discharge after elective PCI in older patients was not significantly associated with 30-day death or rehospitalization compared with overnight stay (adjusted OR 0.95; 95% CI 0.78-1.16).

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Why the study?

Does same-day discharge increase death or rehospitalization in older patients undergoing elective PCI compared to overnight stay?

Population

107,018 patients 65 years or older undergoing elective percutaneous coronary intervention at 903 sites in…

Comparison

Same-day discharge after elective PCI vs Overnight stay after elective PCI

Design

Cohort

Follow-up

30 days

Key result

Same-day discharge after elective PCI in older patients was not significantly associated with 30-day death or rehospitalization compared with overnight stay (adjusted OR 0.95; 95% CI 0.78-1.16).

Authors

SRSunil V. RaoLKLisa A. KaltenbachWWWilliam S. Weintraub

Discussion

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Overview

Supports consideration of same-day discharge in selected older elective PCI patients; leaves open confirmation in randomized trials.

Study Design

Type

Cohort (n=107,018)

Multicenter

Yes

Structured PICO

Does same-day discharge increase death or rehospitalization in older patients undergoing elective PCI compared to overnight stay?

P
Population
107,018 patients aged 65 years or older undergoing elective PCI in the United States, followed for up to 30 days.
E
Exposure
Same-day discharge after elective PCI
C
Comparator
Overnight stay after elective PCI
O
Outcome
Composite of death or rehospitalization occurring within 2 days and by 30 days after PCIcomposite

Main Result

Odds Ratio: 0.95 (95% CI 0.78–1.16)

Absolute Event Rate: 9.63% vs 9.7%

p-value: p=.94

Same-day discharge after elective PCI in selected older patients is rarely implemented but appears safe, with no significant increase in 30-day death or rehospitalization compared to overnight observation.

Cite This Study

Rao et al. (2011) conducted a cohort in Elective percutaneous coronary intervention (PCI) (n=107,018). Same-day discharge vs. Overnight stay was evaluated on Death or rehospitalization by 30 days after PCI (adjusted OR 0.95, 95% CI 0.78-1.16, p=.94). Same-day discharge after elective PCI in older patients was not significantly associated with 30-day death or rehospitalization compared with overnight stay (adjusted OR 0.95; 95% CI 0.78-1.16).

synapsesocial.com/papers/6a8466257e95b97f4e730330https://doi.org/10.1001/jama.2011.1409
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Also Consider

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

  1. 1Randomized Trial Comparing Same-Day Discharge With Overnight Hospital Stay After Percutaneous Coronary Intervention2007 · 183 citations
  2. 2Same Day Discharge versus Overnight Stay in the Hospital following Percutaneous Coronary Intervention in Patients with Stable Coronary Artery Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials2017 · 54 citations
  3. 3Clinical outcomes of patients undergoing elective percutaneous coronary intervention with same-day discharge. Ten-year follow-up2021 · 1 citations
  4. 4The Impact of Age, Comorbidities, and Discharge Timing on Clinical Outcomes Following Elective Percutaneous Coronary Intervention2024
  5. 5Assessing Patient-Reported Outcomes and Preferences for Same-Day Discharge After Percutaneous Coronary Intervention2013 · 69 citations