What outcomes have been reported for same-day discharge after percutaneous coronary intervention (PCI)?

Updated: Nov 27, 2019
  • Author: George A Stouffer, III, MD; Chief Editor: Karlheinz Peter, MD, PhD  more...
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Answer

Rao et al examined the safety of same-day discharge in 107,018 low-risk patients 65 years or older who underwent elective PCI at 903 sites. [8] Only 1.25% of patients were discharged on the same day, and there was significant variation across facilities. Patients who were discharged on the same day had shorter procedures with less multivessel intervention. Notably, there were no significant differences between same-day discharge and overnight-stay patients with regard to mortality or rehospitalization rate either at 2 days or at 30 days.

Two meta-analyses that compared same-day discharge after elective PCI with overnight admission, including both radial and femoral approaches, showed no evidence for harm. [9, 10] Same-day discharge seems reasonable in carefully selected patients undergoing largely elective PCI.


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