[GISE (Italian Society of Interventional Cardiology) Position paper: Short-term hospitalization for percutaneous...

Area of Science:

• Cardiology
• Healthcare Management
• Health Economics

Background:

• Minimizing hospital length of stay is a critical healthcare goal, amplified by the COVID-19 pandemic and resulting backlogs in non-COVID-19 admissions.
• Elective percutaneous coronary intervention (PCI) patients at low risk for complications are potential candidates for reduced hospitalization durations.
• Existing literature includes observational studies, randomized trials, and meta-analyses on short-term hospitalizations for PCI.

Purpose of the Study:

• To propose a model for short-term hospitalization following elective percutaneous coronary intervention (PCI) in selected low-risk patients.
• To outline inclusion and exclusion criteria for identifying suitable candidates for brief hospital stays.
• To present a sustainable and adaptable model for implementing short-term hospitalization in various healthcare settings.

Main Methods:

• Development of a position paper outlining a proposal for short hospitalization protocols.
• Identification of specific patient selection criteria (inclusion/exclusion) for elective PCI.
• Description of a tested, sustainable model for short-term hospitalization, adaptable to individual centers.

Main Results:

• Short-term hospitalization for elective PCI in selected patients is proposed as a viable strategy.
• This approach can lead to a reduction in hospital costs and surgical waiting lists.
• A tested model demonstrates sustainability, with potential for adaptation to different healthcare centers.

Conclusions:

• Short-term hospitalization for elective PCI is a safe and effective strategy for carefully selected patients.
• Implementing this model can optimize resource utilization and improve patient access to care.
• The proposed approach offers a sustainable solution for reducing healthcare costs and managing surgical backlogs.