Key result
Same-day discharge program for transradial PCI achieves ~90% discharge rate with no major complications.
Why the study?
Advances in PCI and TRI have enabled reduced complication rates and earlier ambulation, but safety and patient satisfaction of a TRI-based one-day admission program for PCI needed assessment.
Cohort (n=230)
Answers are grounded in this paper and cite their sources.
Supports feasibility of same-day discharge after transradial intervention in selected patients; leaves open need for randomized trials to guide practice.
Background:Recent advances of percutaneous coronary intervention (PCI) and transradial coronary intervention (TRI) have made it possible to reduce the local complication rate and the time until a return to ambulation. The aim of this study is to assess the safety and the patient satisfaction of the TRI-based one-day admission program for PCI. Methods:Total 230 consecutive patients underwent TRI on the day of admission, according to pre-determined inclusion criteria, from May 2001 to October 2003. The subjects were examined for clinical and angiographic characteristics. The patients having a same-day discharge were telephone-interviewed one day and seven days after discharge to assess late complications and the patients’ satisfaction. Results:The mean age of the subjects was 59±9 years and 77.4% were male patients. 169 (73.4%) had stable angina and 37 (16.1%) had unstable angina. Stents were implanted in 178 cases (69.3%). Of the 230 patients who underwent TRI, 206 patients (89.6%) could discharge on the same day after the procedure. The procedure was successful in 98.5%. The average hospital stay for them was 9.4±1.4 hours. Two subjects reported hematoma near the puncture site within 24 hours after discharge, and one reported this problem 7 days after discharge. During the follow-up, there were no cases reporting chest pain needing rehospitalization or such complications as subacute vessel closure. No deaths, myocardial infarctions or revascularization were noted during the follow-up period. The majority of the patients (n=197, 95.6%) were satisfied with the same-day admission and discharge. Conclusions:Sameday admission and discharge after TRI seems to be safe as well as satisfactory for not low-risk patients. (Korean Circulation J 2004; 34 (7):647-654)
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Oh et al. (2004) conducted a cohort in Coronary artery disease requiring PCI (n=230). Transradial coronary intervention-based one-day admission program was evaluated on Safety and patient satisfaction. A transradial coronary intervention-based one-day admission program achieved an 89.6% same-day discharge rate and 95.6% patient satisfaction, with no major clinical complications.
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