Percutaneous coronary intervention can be done on an outpatient basis. Patient Safe method for early discharge--if the criteria are met
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:112 |
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| Enthalten in: |
Lakartidningen - 112(2015) vom: 24. März |
| Sprache: |
Schwedisch |
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| Weiterer Titel: |
Perkutan koronarintervention kan göras polikliniskt. Patientsäker metod vid tidig utskrivning - om kriterier är uppfyllda |
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| Beteiligte Personen: |
Vazda, Mahir [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 19.10.2015 Date Revised 25.03.2015 published: Electronic Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM247372870 |
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| 245 | 1 | 0 | |a Percutaneous coronary intervention can be done on an outpatient basis. Patient Safe method for early discharge--if the criteria are met |
| 246 | 3 | 3 | |a Perkutan koronarintervention kan göras polikliniskt. Patientsäker metod vid tidig utskrivning - om kriterier är uppfyllda |
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| 500 | |a Date Completed 19.10.2015 | ||
| 500 | |a Date Revised 25.03.2015 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a 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 | ||
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| 700 | 1 | |a Eggers, Kai |e verfasserin |4 aut | |
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