title: [Percutaneous coronary intervention can be done on an outpatient basis. Patient Safe method for early discharge--if the criteria are met].
abstract: Due to technical and medical advances, the complication rate associated with elective percutaneous coronary intervention (PCI) has decreased considerably during the past decades. Accordingly, patients might be scheduled for same-day discharge without exposing them to an increased risk. We conducted a retrospective single-center study to test such an approach. Overall, we noted no difference in the 30-day complication rate in a total of 128 angina patients undergoing elective PCI before and after implementation of a same-day discharge policy. The only variable associated with an increased complication rate was PCI of >2 coronary segments. These patients as well as those with PCI of left main or bifurcational stenoses, femoral access and reduced well-being are recommended to stay at the hospital according to routines at our institution. In summary, our data indicate that same-day discharge after elective PCI is safe provided that suitable patients are identified by appropriate criteria.
authors: Akademiska sjukhuset - Medicin kliniken Uppsala, Sweden Akademiska sjukhuset - Medicin kliniken Uppsala, Sweden.
authors: Mahir
authors: M
authors: Vazda
authors: Akademiska sjukhuset - Kardiolog kliniken Uppsala, Sweden Akademiska sjukhuset - Kardiolog kliniken Uppsala, Sweden.
authors: Christoph
authors: C
authors: Varenhorst
authors: Akademiska sjukhuset - Kardiolog kliniken Uppsala, Sweden Akademiska sjukhuset - Kardiolog kliniken Uppsala, Sweden.
authors: Kai
authors: K
authors: Eggers
mesh_terms: D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects / Q000592:standards*; D000787:Angina Pectoris / Q000601:surgery; D005260:Female; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge / Q000592:standards; D061214:Patient Safety; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects / Q000592:standards*; D011183:Postoperative Complications / Q000453:epidemiology*; D012307:Risk Factors