title: Same-day discharge or overnight stay after percutaneous coronary intervention: comparison of net adverse cardiovascular events.
abstract: BACKGROUND
  Same-day discharge after percutaneous coronary intervention (PCI), if achieved with acceptable safety, could result in greater patient satisfaction and potential cost savings. Comparative analyses reporting the safety outcomes of same-day discharge vs overnight stay after elective PCI are lacking.
  
  
  METHODS
  Data of same-day discharge and overnight-stay patients undergoing elective PCI in a high-volume center were compared. We specifically evaluated the incidence of net adverse cardiovascular events (NACE; i.e., death, myocardial infarction, stroke, target vessel revascularization, vascular complication, and major bleeding) within 48 hours post index procedure among both groups and at 30 days.
  
  
  RESULTS
  A total of 188 cases were evaluated, with 93 discharged the same day and 95 after overnight stay following elective PCI. Baseline characteristics were similar, except for older age (73.0 ± 7 years vs. 64.0 ± 12 years; P<.001), more prior PCI (49.5% vs. 34.7%; P<.001), and prior coronary artery bypass graft surgery (16.1% vs. 11.6%; P=.01) in the same-day discharge group. Procedural characteristics were similar in both groups. No significant difference in the NACE rate was found between the groups at 48 hours (0 [0%] vs. 2 [2.1%]; P=.25) or at 30 days (3 [3.2%] vs. 6 [6.3%]; P=.26).
  
  
  CONCLUSIONS
  In the population studied, same-day discharge after PCI is safe and feasible. Adequately powered randomized prospective studies are necessary to confirm these results.
authors.affiliation: Columbia University, Division of Cardiology, Mount Sinai Heart Institute, 4300 Alton Road, Miami Beach, FL 33140 USA. fonasci@gmail.com.
authors.forename: Francisco O
authors.initials: FO
authors.lastname: Nascimento
authors.forename: Andres M
authors.initials: AM
authors.lastname: Pineda
authors.forename: Alexandre
authors.initials: A
authors.lastname: Benjo
authors.forename: Ildefonso
authors.initials: I
authors.lastname: Mas
authors.forename: Carlos
authors.initials: C
authors.lastname: Podesta
authors.forename: Todd B
authors.initials: TB
authors.lastname: Heimowitz
authors.forename: Ajay
authors.initials: A
authors.lastname: Kirtane
authors.forename: Nirat
authors.initials: N
authors.lastname: Beohar
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003324:Coronary Artery Disease / Q000628:therapy*; D005260:Female; D006470:Hemorrhage / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology; D010351:Patient Discharge; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects; D012189:Retrospective Studies; D020521:Stroke / Q000453:epidemiology; D013997:Time Factors; D016896:Treatment Outcome