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August 1, 2017Circulation Cardiovascular Quality and Outcomes

Trends and Outcomes After Same-Day Discharge After Percutaneous Coronary Interventions

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Key result

Same-day discharge after PCI increased from 2.5% in 2009 to 7.4% in 2013 (P-trend <0.001) and had similar rates of unplanned readmissions and mortality compared to next-day discharge.

Why the study?

Does same-day discharge after PCI result in similar rates of unplanned readmissions compared to next-day discharge in adults undergoing outpatient PCI?

Population

Adults undergoing percutaneous coronary intervention in an outpatient setting in Florida and New York…

Comparison

Same-day discharge (SDD) after PCI vs Next-day discharge after PCI

Design

Cohort

Follow-up

30 days

Authors

SAShikhar AgarwalGeneral CardiologyBTBadal ThakkarJohns Hopkins UniversityKSKimberly A. SkeldingJohnson University

Discussion

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Implication

Same-day discharge after PCI was associated with similar readmission rates; hypothesis-generating and requires randomized confirmation before practice change.

Study Design

Type

Cohort

Multicenter

Yes

Structured PICO

Does same-day discharge after PCI result in similar rates of unplanned readmissions compared to next-day discharge in adults undergoing outpatient PCI?

P
Population
Adults undergoing PCI in an outpatient setting in Florida and New York between 2009 and 2013, evaluated for 7- and 30-day readmissions.
E
Exposure
Same-day discharge (SDD) after PCI
C
Comparator
Next-day discharge after PCI
O
Outcome
Unplanned readmissions within 7 and 30 dayshard clinical

Same-day discharge after PCI is safe with similar readmission and mortality rates compared to next-day discharge, though utilization remains low and disparities exist.

Cite This Study

Agarwal et al. (2017) conducted a cohort in Percutaneous coronary intervention. Same-day discharge vs. Next-day discharge was evaluated on Unplanned readmissions within 7 and 30 days. Same-day discharge after PCI increased from 2.5% in 2009 to 7.4% in 2013 (P-trend <0.001) and had similar rates of unplanned readmissions and mortality compared to next-day discharge.

synapsesocial.com/papers/6a9eeb3e8bfa85d845232749https://doi.org/10.1161/circoutcomes.117.003936

Topics

Percutaneous coronary intervention
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Also Consider

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

  1. 1Randomized Trial Comparing Same-Day Discharge With Overnight Hospital Stay After Percutaneous Coronary Intervention2007 · 183 citations
  2. 2Actual outpatient PTCA: Results of the OUTCLAS pilot study2001 · 69 citations
  3. 3Same-Day Discharge After Percutaneous Coronary Intervention2016 · 92 citations
  4. 4Assessing Patient-Reported Outcomes and Preferences for Same-Day Discharge After Percutaneous Coronary Intervention2013 · 69 citations
  5. 5Prevalence and Outcomes of Same-Day Discharge After Elective Percutaneous Coronary Intervention Among Older Patients2011 · 127 citations