PMID- 33472991
OWN - NLM
STAT- MEDLINE
DCOM- 20210917
LR  - 20210917
IS  - 1557-2501 (Electronic)
IS  - 1042-3931 (Linking)
VI  - 33
IP  - 3
DP  - 2021 Mar
TI  - Safety of Same-Day Discharge After Percutaneous Coronary Intervention in Selected 
      Patients With Non-ST Elevation Acute Coronary Syndrome.
PG  - E156-E163
LID - JIC20210121-2 [pii]
AB  - OBJECTIVES: We aimed to investigate the safety of same-day discharge (SDD) after 
      percutaneous coronary intervention (PCI) for non-ST segment elevation acute 
      coronary syndrome (NSTEACS), and to investigate the reduction in duration of 
      hospitalization achievable by SDD. BACKGROUND: Previous studies have established 
      the safety of SDD after elective PCI, while the safety of SDD after non-elective 
      PCI for acute coronary syndrome has only been sparsely studied. METHODS: A 
      single-center, observational, retrospective study of 923 consecutive procedures 
      in patients with NSTEACS who had PCI was performed. The procedures were divided 
      into 2 groups based on postprocedural management: SDD (n = 195) and non-SDD (n = 
      728). RESULTS: No differences were seen in the total number of adverse events at 
      1 month (1.5% SDD vs 1.4% non-SDD; P=.74), 3 months (2.5% SDD vs 2.3% non-SDD; 
      P=.80), and 6 months (3.5% SDD vs 3.3% non-SDD; P=.84) after discharge, and there 
      were no deaths in the SDD group. No difference was found in unplanned 
      rehospitalizations within 6 months (20.5% SDD vs 25.3% non-SDD; P=.17), while 
      unplanned revascularizations were more frequent in non-SDD patients (5.6% SDD vs 
      13.4% non-SDD; P<.01). Median duration of hospitalization was 1.3 days shorter 
      for SDD patients than for non-elderly, uncomplicated non-SDD patients. 
      CONCLUSIONS: SDD after PCI in a selected group of NSTEACS patients was associated 
      with low rates of adverse events, unplanned rehospitalizations, and 
      revascularizations. SDD was associated with a shorter hospitalization duration.
FAU - Ghanbari, Fatemeh
AU  - Ghanbari F
FAU - Lindhardt, Tommi Bo
AU  - Lindhardt TB
FAU - Charlot, Mette Gitz
AU  - Charlot MG
FAU - Haahr Pedersen, Sune
AU  - Haahr Pedersen S
FAU - Olsen, Niels Thue
AU  - Olsen NT
AD  - Dept. of Cardiology, Gentofte University Hospital, Hospitalsvej 1, DK-2900 
      Hellerup, Denmark. niels.thue.olsen@regionh.dk.
LA  - eng
PT  - Journal Article
DEP - 20210121
PL  - United States
TA  - J Invasive Cardiol
JT  - The Journal of invasive cardiology
JID - 8917477
SB  - IM
MH  - *Acute Coronary Syndrome/diagnosis/surgery
MH  - Humans
MH  - Length of Stay
MH  - Middle Aged
MH  - Patient Discharge
MH  - *Percutaneous Coronary Intervention/adverse effects
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - acute coronary syndrome
OT  - complications
OT  - coronary heart disease
OT  - percutaneous coronary intervention
EDAT- 2021/01/22 06:00
MHDA- 2021/09/18 06:00
CRDT- 2021/01/21 05:28
PHST- 2021/01/22 06:00 [pubmed]
PHST- 2021/09/18 06:00 [medline]
PHST- 2021/01/21 05:28 [entrez]
AID - JIC20210121-2 [pii]
PST - ppublish
SO  - J Invasive Cardiol. 2021 Mar;33(3):E156-E163. Epub 2021 Jan 21.