51. Same-day discharge after percutaneous coronary intervention

Abstract

Due to increasing burden of cardiovascular disease there is always problem of availability of beds in tertiary care hospitals. To manage this problem we need a strategy which shorten patients stay in the hospital. This study evaluate the safety of the same day discharge after uncomplicated PCI for patients with stable coronary artery disease who are admitted electively to day cath unit. This study sought to assess the safety of same-day discharge in patients undergoing percutaneous coronary intervention (PCI). We conducted a prospective observational study, reporting outcomes of patients discharged on the same day after elective uncomplicated PCI. Patients were admitted in day cath unit with a diagnosis of stable angina and patients for planned elective PCI. Demographic data, procedural characteristics, and adverse outcome were collected. A composite end point include: death, myocardial infarction (MI), stroke, major bleeding, target lesion revascularization and vascular complications. 77 patients were included in the study. All patients had uncomplicated PCI. Majority 90% of PCI was through radial approach. Post PCI patients were observed in day cath unit for an average time of 6 h and then were discharged. Patients were clearly instructed, in case of any adverse events to approach to ER and to consult the interventionist also the patients were follow up on phone call at 24 h and 72 h post procedure and then seen in OPD at one month. There was no death, myocardial infarction, TLR or TVR. There was no major or minor bleeding and there was no vascular complications. Same discharge after uncomplicated elective PCI in stable, selected groups of patients with close follow up is safe and feasible, However further large RCTs are needed to confirm the safety and feasibility of the same discharge.