Related Experiment Video

Updated: Oct 25, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

3.4K

Trends in Use and Outcomes of Same-Day Discharge Following Elective Percutaneous Coronary Intervention

Steven M Bradley1, Lisa A Kaltenbach2, Katelyn Xiang2

  • 1Minneapolis Heart Institute, Minneapolis, Minnesota, USA; Minneapolis Heart Institute Foundation, Minneapolis, Minnesota, USA.

JACC. Cardiovascular Interventions
|August 6, 2021
PubMed

Insights

Same-day discharge after elective percutaneous coronary intervention (PCI) significantly increased from 2009 to 2017. This trend was not linked to worse patient outcomes, suggesting potential cost savings without compromising care quality.

Area of Science:

  • Cardiovascular Medicine
  • Health Services Research

Background:

  • Contemporary data on same-day discharge following elective percutaneous coronary intervention (PCI) is limited.
  • Understanding trends and variations in this practice is crucial for optimizing patient care and healthcare resource utilization.

Purpose of the Study:

  • To analyze trends and hospital variations in same-day discharge rates after elective PCI.
  • To assess the association between same-day discharge trends and patient outcomes, specifically 30-day mortality and rehospitalization.

Main Methods:

  • A sequential cross-sectional analysis of 819,091 patients undergoing elective PCI was conducted using the National Cardiovascular Data Registry CathPCI Registry (2009-2017).
  • Patient outcomes (30-day mortality and rehospitalization) were evaluated for a subset of 212,369 patients linked to Medicare and Medicaid Services data.

Main Results:

  • The proportion of patients discharged the same day as elective PCI rose from 4.5% in 2009 to 28.6% in 2017.
  • Rates for femoral-access PCI increased from 4.3% to 19.5%, and for radial-access PCI from 9.9% to 39.7% during the study period.
  • Risk-adjusted 30-day mortality remained stable, while rehospitalization decreased, with a more pronounced reduction observed for same-day discharges.

Conclusions:

  • The significant increase in same-day discharge following elective PCI over the past decade has not been associated with adverse patient outcomes.
  • Persistent hospital-level variations in same-day discharge practices present opportunities for cost reduction without negatively impacting patient safety or outcomes.
Abstract

Keywords:
elective surgical procedureslength of staypatient dischargepercutaneous coronary interventionregistries

More Related Videos

Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control05:41

Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control

Published on: December 16, 2022

3.9K
Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock07:39

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Published on: August 16, 2021

3.8K

Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
62
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
74
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
318
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
78
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
53
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
72