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Pediatric cardiac catheterization with same-day discharge

J D Waldman, T S Young, S J Pappelbaum

    The American Journal of Cardiology
    |October 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

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    Same-day discharge for pediatric cardiac catheterization is safe and effective for children of all ages, reducing hospital stays and costs. This approach improves patient care and streamlines medical training without compromising outcomes.

    Area of Science:

    • Pediatric Cardiology
    • Health Services Research

    Background:

    • Traditional pediatric cardiac catheterization involves overnight hospitalization.
    • This standard practice contributes to increased healthcare costs and prolonged patient stays.

    Purpose of the Study:

    • To evaluate the safety and efficacy of a same-day discharge protocol for pediatric cardiac catheterization.
    • To assess the impact of same-day discharge on hospital costs and medical care.

    Main Methods:

    • A retrospective analysis of 233 pediatric patients undergoing cardiac catheterization with same-day discharge over four years.
    • Data collected included patient demographics, procedure types, complications, and hospital length of stay.

    Main Results:

    • Same-day discharge was safely implemented in 233 children (5 weeks to 20 years), with an average hospital stay of 11.8 hours.

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  • Only one patient required readmission; the protocol was effective across various patient ages, diagnoses, and procedural variations.
  • Hospital costs were reduced by 29% compared to the standard 42-hour stay.

    • Conclusions:

    • Same-day discharge is a safe and cost-effective strategy for pediatric cardiac catheterization.
    • Successful implementation requires strong coordination among healthcare professionals and sound clinical judgment.
    • This model offers benefits for patient care, institutional costs, and medical training.