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Same-day discharge is feasible and safe in the majority of elderly patients undergoing elective percutaneous coronary

Anil M Ranchord1, Sandhir Prasad, Sujith K Seneviratne

  • 1Department of Cardiology, Wellington Hospital, Private Bag 7902, Wellington South, New Zealand.

The Journal of Invasive Cardiology
|July 7, 2010
PubMed

Insights

Same-day discharge after percutaneous coronary intervention (PCI) is safe for most elderly patients. This study found similar safety and feasibility in older individuals compared to younger patients undergoing elective PCI.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Geriatric Medicine

Background:

  • Same-day discharge after elective percutaneous coronary intervention (PCI) is generally safe.
  • Elderly patients often have more comorbidities and complex anatomy, raising concerns about same-day discharge safety.
  • This study evaluated the feasibility and safety of same-day discharge in elderly patients undergoing elective PCI.

Purpose of the Study:

  • To assess the safety and feasibility of same-day discharge in elderly patients (≥75 years) after elective percutaneous coronary intervention (PCI).
  • To compare outcomes between elderly patients and younger controls undergoing elective PCI.

Main Methods:

  • A retrospective analysis of 1,580 consecutive patients undergoing elective PCI.
  • Comparison of outcomes between elderly patients (≥75 years) and younger controls (<75 years).
  • Evaluation of procedural success, in-hospital major adverse cardiac events (MACE), and same-day discharge rates.

Main Results:

  • Elderly patients (13.4%) were more likely to be female, hypertensive, and have prior coronary artery bypass graft (CABG) surgery.
  • Procedural success, in-hospital MACE, and same-day discharge rates were similar between elderly and younger groups.
  • Same-day discharge was achieved in 84% of elderly patients with no deaths within 24 hours and low readmission rates.

Conclusions:

  • Same-day discharge is a safe and feasible strategy for the majority of elderly patients undergoing elective PCI.
  • Outcomes, including 30-day MACE, were comparable between elderly and younger patients.
  • Elective PCI with same-day discharge can be safely extended to the elderly population.
Abstract

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