title: Predictors of same day discharge after percutaneous coronary interventions.
abstract: OBJECTIVE
  The aim of this study is to identify possible predictors for same day discharge (SDD) after percutaneous coronary interventions (PCI).
  
  
  BACKGROUND
  Same day discharge after PCI is becoming more and more appealing and patient's selection criteria are being formulated.
  
  
  METHODS
  A retrospective analysis was performed in all PCI procedures from January 2013 until December 2015. Patients were discharged the same day (SDD group) or had at least one overnight stay (non-SDD group). The decision of SDD or not was on treating physician discretion. We evaluated predictors of SDD decision by a logistic regression analysis.
  
  
  RESULTS
  One thousand one hundred sixty eight procedures were performed from our department during the study period: 308 patients (26.4%) were discharged the same day (SDD group) and the rest 860 procedures (73.6%) had at least one overnight stay (non-SDD group). Multivariate analysis revealed that forearm approach (OR=5.498, CI: 2.067-14.629; p=<0.001), patient's residency proximal to the hospital (OR=4.543, CI: 2.406-8.580; p<0.001), completion of the procedure before 13,00p.m. (OR=3.437, CI: 1.789-0.6.601; p<0.001) and the success of the performed procedure (OR=1.125, CI 1.043-2.135; p=0.044) were positive predictors of SDD, while presentation with non-ST elevation myocardial infarction or unstable angina (OR=0.542, CI: 0.268-0.872; p<0.010) and amount of contrast used (OR=0.910, CI: 0.852-0.969; p<0.030) were negative predictors of SDD.
  
  
  CONCLUSIONS
  In retrospect, both procedural and demographic details play a crucial role in patient selection for same day discharge post coronary percutaneous intervention.
authors.affiliation: Second Cardiology Department, Hellenic Red Cross Hospital, Athens, Greece. Electronic address: koutouzismike@yahoo.gr.
authors.forename: Michail
authors.initials: M
authors.lastname: Koutouzis
authors.affiliation: Second Cardiology Department, Hellenic Red Cross Hospital, Athens, Greece.
authors.forename: Maria
authors.initials: M
authors.lastname: Agelaki
authors.affiliation: Second Cardiology Department, Hellenic Red Cross Hospital, Athens, Greece.
authors.forename: Christos
authors.initials: C
authors.lastname: Maniotis
authors.affiliation: Second Cardiology Department, Hellenic Red Cross Hospital, Athens, Greece.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Dimitriou
authors.affiliation: Second Cardiology Department, Hellenic Red Cross Hospital, Athens, Greece.
authors.forename: Andreas
authors.initials: A
authors.lastname: Tsoulmeleas
authors.affiliation: Second Cardiology Department, Hellenic Red Cross Hospital, Athens, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Matsoukis
authors.affiliation: Second Cardiology Department, Hellenic Red Cross Hospital, Athens, Greece.
authors.forename: Constantinos
authors.initials: C
authors.lastname: Andreou
authors.affiliation: Second Cardiology Department, Hellenic Red Cross Hospital, Athens, Greece.
authors.forename: Efstathios
authors.initials: E
authors.lastname: Lazaris
mesh_terms: D000368:Aged; D016009:Chi-Square Distribution; D000066491:Clinical Decision-Making; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000628:therapy*; D003661:Decision Support Techniques; D005260:Female; D006801:Humans; D016015:Logistic Models; D008136:Longevity; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D010351:Patient Discharge; D018579:Patient Selection; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects; D011237:Predictive Value of Tests; D012042:Registries; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome
keywords: Cad; PCI; Same day discharge