Same-Day Discharge After Percutaneous Coronary Intervention: Current Perspectives and Strategies for Implementation

Area of Science:

• Cardiology
• Interventional Cardiology
• Health Services Research

Background:

• Percutaneous coronary intervention (PCI) advancements enable same-day discharge (SDD) for select patients.
• Overnight observation post-PCI may not be necessary for all individuals.
• SDD offers potential benefits in patient flow and cost reduction.

Purpose of the Study:

• To review current literature on outcomes of same-day discharge PCI.
• To outline a framework for developing successful SDD programs.
• To assess the safety and efficacy of SDD compared to overnight observation.

Main Methods:

• Conducted a narrative review of human studies on SDD PCI.
• Searched PubMed for English-language studies from 1995 to 2015.
• Included randomized trials, observational studies, meta-analyses, guidelines, and consensus statements.

Main Results:

• No increase in adverse events (bleeding, repeat procedures, death, rehospitalization) for SDD PCI patients versus overnight observation.
• SDD PCI was associated with significant cost savings.
• Patients expressed a preference for same-day discharge.

Conclusions:

• Evidence supports the safety of SDD in selected patients undergoing PCI.
• Successful SDD program implementation requires specific features.
• Wider adoption of SDD can enhance patient satisfaction, hospital capacity, and reduce costs without compromising safety.