January 1, 2003Japanese Heart JournalOpen Access

The Feasibility and Safety of Early Discharge for Low Risk Patients with Acute Myocardial Infarction after Successful Direct Percutaneous Coronary Intervention.

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Why the study?

Does early discharge (<4 days) maintain safety compared to delayed discharge (≥4 days) in low-risk patients with acute myocardial infarction after successful direct percutaneous coronary intervention?

Population

463 low-risk patients with acute myocardial infarction who underwent successful direct percutaneous coronary…

Comparison

Early hospital discharge vs Delayed hospital discharge

Design

Cohort

Follow-up

30 days

Authors

HYHon‐Kan YipInterventional Cardiology CWChiung‐Jen WuInterventional Cardiology HCHsueh‐Wen ChangSuez Canal University

Discussion

Member takes

Implication

May support early discharge in low-risk post-PCI AMI; leaves open need for randomized confirmation before practice change.

Structured PICO

Population

463 low-risk patients with acute myocardial infarction (AMI) who underwent successful direct percutaneous coronary intervention (d-PCI). Low risk defined as Killip ≤2, normal blood flow without recurrent ischemia/reinfarction in first 24h, no mechanical/electrical complications, no acute renal failure/stroke/major bleeding, no advanced CHF (NYHA ≥3), and no sepsis. Mean age ~59, mostly male. Single center in Taiwan.

Intervention

Early hospital discharge (<4 days after the procedure)

Comparator

Delayed hospital discharge (≥4 days after the procedure)

Outcome

Composite of major cardiac events (death, recurrent ischemia, reinfarction, revascularization, or advanced congestive heart failure) at 30 days follow-upcomposite

Early discharge (<4 days) is feasible and safe for low-risk patients with acute myocardial infarction after successful direct percutaneous coronary intervention, without increasing 30-day adverse events.

Limitations

Not designed to evaluate the incidence of low risk patients with AMI undergoing d-PCI
Retrospective and nonrandomized study
Not designed to evaluate clinical outcomes between primary stenting and balloon angioplasty
No comparison regarding the time to risk stratification

Cite This Study

Yip et al. (2003) studied this question.

synapsesocial.com/papers/6a95adce904fbd6dd88d64dd https://doi.org/10.1536/jhj.44.41

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The Feasibility and Safety of Early Discharge for Low Risk Patients with Acute Myocardial Infarction after Successful Direct Percutaneous Coronary Intervention.

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

The Feasibility and Safety of Early Discharge for Low Risk Patients with Acute Myocardial Infarction after Successful Direct Percutaneous Coronary Intervention.

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider