Why the study?
Shorter inpatient stays following PCI can reduce opportunities for patient education, making timely outpatient review and cardiovascular risk management essential after discharge.
An advanced nurse-led post-PCI clinic provides an opportunity for timely outpatient review, symptom reassessment, and cardiovascular risk management.
Shorter PCI stays may limit education; leaves open optimal outpatient review models for risk management.
Percutaneous coronary intervention (PCI) is internationally recognised as the preferred initial treatment for acute coronary syndrome and as a treatment option for chronic coronary heart disease. The use of PCI has led to shorter inpatient stays. However, reduced length of stay can mean less opportunity for patient education. Once discharged from hospital, timely outpatient review encompassing symptom reassessment, advanced physical assessment, medication and cardiovascular risk management is a key component of patient care. In an Irish acute hospital setting, cardiology clinical nurse specialists and advanced nurse practitioners have established an advanced nurse-led post-PCI clinic. This article describes the post-PCI clinic and provides an overview of the patient profile and outcomes over a 2-year period, with an emphasis on advanced nursing roles and patient symptoms.
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Ingram et al. (2020) studied this question.
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