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August 3, 2021Journal of Transcatheter InterventionsOpen Access

Among appropriately selected patients undergoing uncomplicated elective percutaneous coronary intervention, a same-day discharge strategy resulted in no major cardiovascular events at 30-day follow-up.

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Why the study?

Same-day discharge after percutaneous coronary intervention is attractive, safe, and cost-effective, but remains underused in Brazil.

Does same-day discharge after uncomplicated elective percutaneous coronary intervention prevent major adverse cardiac events in appropriately selected patients?

Population

413 patients undergoing uneventful percutaneous coronary intervention

Comparison

Same-day discharge vs a historical cohort

Design

Single-center study

Follow-up

30-day

Key result

Among appropriately selected patients undergoing uncomplicated elective percutaneous coronary intervention, a same-day discharge strategy resulted in no major cardiovascular events at 30-day follow-up.

Authors

APAntonio Helio G. PozettiELEdgar Stroppa LamasVSViviane Martins Rebello dos Santos

Discussion

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Overview

Same-day discharge after elective PCI was associated with zero events in this cohort; hypothesis-generating and requires randomized confirmation before practice change.

Study Design

Type

Cohort (n=413)

Multicenter

No

Structured PICO

Does same-day discharge after uncomplicated elective percutaneous coronary intervention prevent major adverse cardiac events in appropriately selected patients?

P
Population
413 patients (mean age 64 years, 24% female) undergoing uncomplicated elective percutaneous coronary intervention who were discharged on the same day, followed for 30 days.
E
Exposure
Same-day hospital discharge after uncomplicated elective PCI (mean observation time 6.2±1.1 hours).
O
Outcome
Major adverse cardiac events (composite of death, myocardial infarction, target vessel revascularization, and stroke) at 30-day follow-up.composite

Same-day discharge after uncomplicated elective percutaneous coronary intervention is safe and feasible in appropriately selected patients, with no major adverse events observed at 30 days.

Limitations

  • Single-center study
  • Observational design
  • Lack of a concurrent randomized control group
  • Single center
  • Observational design with inherent limitations

Cite This Study

Pozetti et al. (2021) conducted a cohort in Elective percutaneous coronary intervention (n=413). Same-day discharge vs. Historical cohort was evaluated on Major adverse cardiac events, in-stent thrombosis, readmission, and vascular complications at 30 days. Among appropriately selected patients undergoing uncomplicated elective percutaneous coronary intervention, a same-day discharge strategy resulted in no major cardiovascular events at 30-day follow-up.

synapsesocial.com/papers/6a9eeb3e8bfa85d845232747https://doi.org/10.31160/jotci202129a20210007
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Also Consider

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

  1. 1Prevalence, trends, and outcomes of same-day discharge following elective percutaneous coronary intervention: a retrospective observational cohort study using routinely-collected health data2024 · 2 citations
  2. 2Randomized Trial Comparing Same-Day Discharge With Overnight Hospital Stay After Percutaneous Coronary Intervention2007 · 183 citations
  3. 3Prevalence and Outcomes of Same-Day Discharge After Elective Percutaneous Coronary Intervention Among Older Patients2011 · 127 citations
  4. 4Same-day discharge after percutaneous coronary procedures—Structured review and comprehensive meta-analysis2024 · 5 citations
  5. 5Discharging a Patient After a Percutaneous Coronary Intervention2018 · 1 citations