Defining the length of stay following percutaneous coronary intervention: an expert consensus document from the Society for Cardiovascular Angiography and Interventions. Endorsed by the American College of Cardiology Foundation.
Percutaneous coronary intervention (PCI) is the most common method of coronary revascularization. Over time, as operator skills and technical advances have improved procedural outcomes, the length of stay (LOS) has decreased. However, standardization in the definition of LOS following PCI has been challenging due to significant physician, procedural, and patient variables. Given the increased focus on both patient safety as well as the cost of medical care, system process issues are a concern and provide a driving force for standardization while simultaneously maintaining the quality of patient care. This document: (1) provides a summary of the existing published data on same-day patient discharge following PCI, (2) reviews studies that developed methods to predict risk following PCI, and (3) provides clarification of the terms used to define care settings following PCI. In addition, a decision matrix is proposed for the care of patients following PCI. It is intended to provide both the interventional cardiologist as well as the facilities, in which they are associated, a guide to allow for the appropriate LOS for the appropriate patient who could be considered for early discharge or outpatient intervention.
Chambers
Charles E
CE
Pennsylvania State University Hershey Medical Center, Hershey, Pennsylvania, USA.
Dehmer
Gregory J
GJ
Cox
David A
DA
Harrington
Robert A
RA
Babb
Joseph D
JD
Popma
Jeffrey J
JJ
Turco
Mark A
MA
Weiner
Bonnie H
BH
Tommaso
Carl L
CL
D000553:Ambulatory Care / Q000191:economics / Q000592:standards*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000191:economics / Q000592:standards*; D002983:Clinical Competence; D002985:Clinical Protocols; D017048:Health Care Costs; D006268:Health Facilities / Q000592:standards; D006801:Humans; D007349:Insurance, Health, Reimbursement; D007902:Length of Stay / Q000191:economics; D019370:Observation; D010351:Patient Discharge / Q000191:economics / Q000592:standards*; D011787:Quality of Health Care / Q000191:economics / Q000592:standards*; D018570:Risk Assessment; D009626:Terminology as Topic; D016896:Treatment Outcome