Same-day discharge after elective percutaneous coronary intervention: A single center experience

Area of Science:

• Cardiology
• Interventional Cardiology
• Health Services Research

Background:

• Elective percutaneous coronary intervention (PCI) is increasingly safe.
• Same day discharge (SDD) after PCI is not yet standard practice.
• Characterizing patients eligible for SDD is crucial.

Purpose of the Study:

• To compare outcomes between patients undergoing elective PCI with overnight stay (ONS) versus same day discharge (SDD).
• To identify patient characteristics associated with SDD feasibility and safety.
• To evaluate short-term (24-hour and 30-day) outcomes for both groups.

Main Methods:

• A one-year registry of patients undergoing elective PCI.
• Operator-determined eligibility for SDD, with discharge at least four hours post-intervention.
• Primary endpoints included Major Adverse Cardiac and Cerebrovascular Events (MACCE) and vascular complications; secondary endpoints included unplanned visits and readmissions.

Main Results:

• 155 elective PCIs were performed; 111 patients were in the ONS group, and 43 were in the SDD group.
• Three early complications (<4 hours) occurred: two TIAs and one vascular access site complication.
• No MACCE were observed between 4 and 24 hours or at 30 days. SDD patients had more unplanned visits (9.3% vs. 0.9%, p=0.02) between 1 and 30 days.

Conclusions:

• Same day discharge (SDD) is feasible and safe for selected patients undergoing elective PCI.
• While major adverse events were similar, careful patient selection is needed to manage increased unplanned visits in the SDD group.