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Predictors of same day discharge after percutaneous coronary interventions
Michail Koutouzis1, Maria Agelaki1, Christos Maniotis1
1Second Cardiology Department, Hellenic Red Cross Hospital, Athens, Greece.
Same day discharge after percutaneous coronary intervention (PCI) is feasible. Predictors include forearm approach, proximity to hospital, early procedure completion, and procedural success, while specific cardiac conditions and contrast volume negatively impact same day discharge decisions.
Area of Science:
- Cardiology
- Interventional Cardiology
- Health Services Research
Background:
- Same day discharge (SDD) after percutaneous coronary intervention (PCI) is increasingly adopted.
- Patient selection criteria for SDD are actively being developed.
Purpose of the Study:
- To identify key predictors influencing the decision for same day discharge (SDD) following percutaneous coronary interventions (PCI).
Main Methods:
- Retrospective analysis of 1168 PCI procedures conducted between January 2013 and December 2015.
- Logistic regression analysis was employed to evaluate predictors of SDD.
- Patients were categorized into SDD group (n=308) and non-SDD group (n=860) based on physician discretion.
Main Results:
- Forearm access, patient proximity to the hospital, procedure completion before 1 PM, and procedural success were significant positive predictors of SDD.
- Presentation with non-ST elevation myocardial infarction or unstable angina and higher contrast volume were significant negative predictors of SDD.
Conclusions:
- Both procedural factors and patient demographics are critical in selecting candidates for same day discharge after PCI.
- Optimizing patient selection can enhance the efficiency and feasibility of SDD post-PCI.
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