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.
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?
Cohort (n=413)
No
Does same-day discharge after uncomplicated elective percutaneous coronary intervention prevent major adverse cardiac events in appropriately selected patients?
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.
Answers are grounded in this paper and cite their sources.
Same-day discharge after elective PCI was associated with zero events in this cohort; hypothesis-generating and requires randomized confirmation before practice change.
Background Same-day discharge for percutaneous coronary interventions is an attractive and safe strategy. Observational and randomized data show equivalent results as compared to overnight observation. In addition, it ensues great savings for the healthcare system. Nevertheless, in Brazil, this approach is underused. The objective of this study was to describe the characteristics and outcomes of patients undergoing percutaneous coronary intervention with same-day discharge. Methods A single-center study with patients who underwent selected procedures, uneventful, discharged on the same day. Clinical and angiographic characteristics were described. Major cardiovascular events and complications were analyzed, reported, and compared to a historical cohort. Results A total of 413 patients were included, mean age of 64±10 years. After a 30-day follow-up, no major cardiovascular event was observed in selected patients submitted to the same-day discharge strategy. In addition, we found an increase in clinical and angiographic complexity as compared to the previous series, which did not translate to rise in adverse outcomes. Conclusion Uncomplicated percutaneous coronary interventions, with same-day discharge, are safe among appropriately selected patients, encouraging further adoption of this approach.
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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.
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