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Published on: June 12, 2021

Safety of same day discharge following percutaneous coronary intervention

Brian A Herman1

  • 1Department of Cardiology, Launceston General Hospital, Charles Street, Launceston, Tasmania 7250, Australia. bhdoc1@gmail.com

Heart, Lung & Circulation
|March 25, 2011
PubMed

Insights

Same day discharge after elective percutaneous coronary revascularisation is safe and effective. This study found no complications within 24 hours for patients discharged on the same day.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Existing literature suggests the safety of same-day discharge after percutaneous coronary revascularisation.
  • Overnight hospital stays remain the standard of care despite evidence supporting early discharge.

Purpose of the Study:

  • To evaluate the safety and efficacy of same-day discharge following elective percutaneous coronary revascularisation.
  • To assess the rate of complications within 24 hours post-discharge in patients undergoing this procedure.

Main Methods:

  • A prospective study of 130 patients undergoing elective percutaneous coronary revascularisation over one year.
  • The majority of procedures utilized radial artery access.
  • Patients were observed for six hours post-procedure; discharge was permitted if no adverse events occurred.

Main Results:

  • No complications, including bleeding, recurrent ischaemia, or hospitalisation, were reported within 24 hours of discharge.
  • This indicates a low incidence of adverse events in the early post-discharge period.

Conclusions:

  • Same-day discharge following elective percutaneous coronary revascularisation is a safe and effective strategy.
  • The risk of post-discharge complications is low, supporting a potential shift from the standard overnight stay.
Abstract

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