Same-day discharge after elective percutaneous coronary intervention: A single center experience

Rodrigues, Alberto; Silva, Mariana; Almeida, Carla; Ferreira, Francisco; Morais, Gustavo Pires de; Santos, Lino; Melica, Bruno; Braga, Pedro

doi:10.1016/j.repc.2019.10.008

Cited by 8 publications

(5 citation statements)

References 16 publications

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“…The prediction of complications by comorbidities in our study, with a coefficient of 1.87, echoes the findings of Abdel-Razek et al [ 3 ], emphasizing the importance of personalized care plans, especially for patients with chronic conditions such as diabetes or renal diseases [ 8 , 9 ]. Our study also revealed a higher complication rate in patients discharged on the same day, contrasting the general trend towards the safety and feasibility of SDD noted in several studies [ 4 , 5 , 14 , 15 ]. This discrepancy might be attributed to differences in patient selection criteria or variations in post-discharge care protocols.…”

Section: Discussioncontrasting

confidence: 99%

“…The preference for extended hospital stays in our study contrasts with the body of evidence favoring SDD, as indicated by Rodrigues et al [ 5 ]. However, our findings emphasize the importance of individualizing discharge decisions based on a thorough assessment of each patient’s clinical profile, echoing the approach advocated by Smith et al [ 14 ].…”

Section: Discussioncontrasting

confidence: 99%

“…SDD not only offers safety and practicality but also aids in reducing healthcare costs and shortening hospital stays, marking a step forward in patient-centered care [ 2 , 3 ]. The reduced hospital stay with SDD impacts patient satisfaction and healthcare resource utilization, highlighting its multiple benefits [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Age, Comorbidities, and Discharge Timing on Clinical Outcomes Following Elective Percutaneous Coronary Intervention

Khan,

Nawaz,

Amin

et al. 2024

Cureus

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Background The adoption of same-day discharge (SDD) in elective percutaneous coronary intervention (PCI) procedures offers potential benefits in terms of patient satisfaction and reduced healthcare costs. Despite these advantages, the safety and efficacy of SDD, especially among patients with diverse health profiles, are not fully understood. This study investigates the effects of patient-specific factors, including age, comorbidities, and discharge timing, on the clinical outcomes of elective PCI, focusing on the viability of SDD. Methods A prospective study was carried out at Lady Reading Hospital, Peshawar, Pakistan, involving 220 patients undergoing elective PCI from January to June 2023. This research compared the clinical outcomes of patients discharged on the same day with those who had extended hospital stays, examining the impact of age, comorbidities, and PCI success. Main outcome measures included post-procedure complications and hospital readmissions within 30 days. Results The study enrolled participants with an average age of 62 years, the majority (88%, n=194/220) of whom had comorbidities. Interestingly, 16% (n=35/220) of the participants were discharged on the same day, while the rest stayed longer in the hospital. Notably, those in the SDD group experienced significantly more complications and readmissions, with 95.14% (n=33/36) compared to only 16.22% (n=30/184) in their counterparts. Factors such as age, comorbidities, success of PCI, timing of discharge, and patient satisfaction emerged as significant predictors of the observed outcomes. Conclusion This study highlights the essential role of personalized care in discharge planning following elective PCI, advocating for a cautious approach towards SDD, especially for older patients and those with multiple health issues.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 99%

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The Impact of Age, Comorbidities, and Discharge Timing on Clinical Outcomes Following Elective Percutaneous Coronary Intervention

Khan,

Nawaz,

Amin

et al. 2024

Cureus

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“…A visual analog scale assessed pain due to compression hemostasis. The Early Discharge After Transradial Stenting of Coronary Arteries classification was used for assessing hematoma (Rodrigues et al, 2020). Bleeding Academic Research Consortium (BARC) criteria were used to classify bleeding (Kormos et al, 2020).…”

Section: Methodsmentioning

confidence: 99%

Safety and Efficacy of Coronary Intervention Through Distal Transradial Access in Subjects With Low Body Mass Index

MAHMOOD¹,

BASHIR²,

RAMZAN³

et al. 2023

Biol Clin Sci Res J

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This study evaluated the efficacy and safety of coronary intervention through dTRA in subjects with low body mass index. The retrospective study was conducted in the Cardiology Department of Ch Pervaiz Elahi Institute of Cardiology Multan from January 2022 to January 2023. A total of 37 patients were included in the study. The patients were divided into Group A (cTRA, n=20) and Group B (dTRA, 17). Procedure-related information was recorded, including puncture time and success rate, procedural method and category, radiation exposure, compression hemostasis, and complications like degree of pain, hand swelling, numbness, hematoma, and bleeding. RAO was recorded in the follow-up. The puncture success rate in Group A was 97.5%, and in Group B was 96.7%; this difference was not statistically significant(P=.856). Group B had a longer puncture time than Group A (72s vs. the 60s, P=.003). 1 patient in group B had puncture failure and was switched to Group A. Procedural time in Group B was significantly longer than in Group A (46 min vs. 31 min, P=.043). Compression hemostasis time in Group B was significantly shorter than in Group A (5h vs. 7h, P<.001). The groups' differences in post-operative complications, including hand swelling, numbness, hematoma, and bleeding, were not statistically significant. However, Group B had a significantly lower VAS score than Group A (1 vs. 2, P=<.001). Based on the results, Distal transradial access provides an effective and safe route for coronary intervention in subjects with low BMI.

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“…5,6 Different series globally have evaluated SDD after elective PCI. [7][8][9][10] There is a natural movement of migration towards the use of this care strategy, and its adoption has been accelerated due to the recent 2019 coronavirus disease (COVID-19) pandemic. 11 The SDD protocol-eligible patient profile must follow certain requirements, which are described in two main guidelines.…”

Section: Introductionmentioning

confidence: 99%

Same-day discharge percutaneous coronary intervention. Where are we?

ezerra¹,

Andrade²,

Abizaid³

2022

J Transcat Intervent

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With the evolution of percutaneous coronary intervention techniques and their greater safety, the use of radial access, the greater need to optimize resources in health management and the greater demand from patients for an agile service to solve their problems, the discharge on the same day after percutaneous coronary interventions have been gaining ground in the global scenario as a feasible strategy. The objective of this article was to demonstrate that there is already a scientific basis for this, which extends from the financial aspect, and the patient’s experience, to the technical details related to the safety of the strategy. A structured protocol based on evidence and on the most recent recommendations from two major medical societies is also proposed. Selecting patients well, training the multidisciplinary team and educating the patient are fundamental parts for the success of the strategy.

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Same-day discharge after elective percutaneous coronary intervention: A single center experience

Cited by 8 publications

References 16 publications

The Impact of Age, Comorbidities, and Discharge Timing on Clinical Outcomes Following Elective Percutaneous Coronary Intervention

The Impact of Age, Comorbidities, and Discharge Timing on Clinical Outcomes Following Elective Percutaneous Coronary Intervention

Safety and Efficacy of Coronary Intervention Through Distal Transradial Access in Subjects With Low Body Mass Index

Same-day discharge percutaneous coronary intervention. Where are we?

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