Key result
Same-day discharge after elective percutaneous coronary intervention was safe, with a 0.54% major complication rate, a 5.2% 30-day readmission rate, and cost savings of AUD 4817 per case.
Why the study?
The authors sought to investigate rates of same-day discharge after elective PCI, evaluate clinical safety outcomes, and examine associated hospital costs.
Does same-day discharge maintain safety and reduce costs in patients undergoing elective PCI?
Observational (n=502)
No
Does same-day discharge maintain safety and reduce costs in patients undergoing elective PCI?
Same-day discharge after elective PCI is a safe strategy associated with significant healthcare cost savings.
Answers are grounded in this paper and cite their sources.
May support SDD after elective PCI at experienced centers; leaves open need for randomized trials to confirm safety and costs.
Objectives: We sought to investigate the rates of same-day discharge (SDD) post elective percutaneous coronary intervention (PCI) at our institution and review its safety by examining clinical outcomes. We also performed an economic analysis evaluating our hospital’s cost data for SDD following PCI. Methods: Patients undergoing elective PCI at St George Hospital, Australia, from January 2017 to December 2019 were evaluated. Primary outcomes included 7-day major adverse cardiovascular endpoints (MACEs) and readmission to hospital within 30 days. Results: Among 502 patients who underwent elective PCI, 421 patients (83.8%) were managed with SDD. There was one case of acute stent thrombosis and one case of coronary wire-induced perforation requiring a pericardial drain that occurred following elective PCI with SDD (0.54%). Unplanned cardiac re-hospitalisation at 30 days following elective PCI was 5.2%. SDD after elective PCI was associated with a healthcare cost saving of AUD 4817 per case. Conclusion: SDD following elective PCI was demonstrated to be a safe and effective strategy that was also associated with significant cost savings. SDD following elective PCI warrants more widespread use as it lowers healthcare costs, has equivalent patient outcomes and improves patient satisfaction.
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Prashar et al. (2021) conducted an observational in Elective percutaneous coronary intervention (n=502). Same-day discharge was evaluated on 7-day major adverse cardiovascular endpoints (MACEs) and readmission to hospital within 30 days. Same-day discharge after elective percutaneous coronary intervention was safe, with a 0.54% major complication rate, a 5.2% 30-day readmission rate, and cost savings of AUD 4817 per case.
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