Abstract
Objectives: We sought to investigate the rates of same-day discharge (SDD) post elective percutaneous coronary intervention (PCI) at our institution and review its safety by examining clinical outcomes. We also performed an economic analysis evaluating our hospital’s cost data for SDD following PCI. Methods: Patients undergoing elective PCI at St George Hospital, Australia, from January 2017 to December 2019 were evaluated. Primary outcomes included 7-day major adverse cardiovascular endpoints (MACEs) and readmission to hospital within 30 days. Results: Among 502 patients who underwent elective PCI, 421 patients (83.8%) were managed with SDD. There was one case of acute stent thrombosis and one case of coronary wire-induced perforation requiring a pericardial drain that occurred following elective PCI with SDD (0.54%). Unplanned cardiac re-hospitalisation at 30 days following elective PCI was 5.2%. SDD after elective PCI was associated with a healthcare cost saving of AUD 4817 per case. Conclusion: SDD following elective PCI was demonstrated to be a safe and effective strategy that was also associated with significant cost savings. SDD following elective PCI warrants more widespread use as it lowers healthcare costs, has equivalent patient outcomes and improves patient satisfaction.
Highlights
Its utility is likely to further increase on the back of recent evidence demonstrating significant reductions in cardiovascular death and myocardial infarction in patients who present with ST elevated myocardial infarctions (STEMIs) who undergo staged percutaneous coronary intervention (PCI) for complete coronary revascularisation [3]
Elective PCI was defined as any coronary revascularisation procedure encompassing drug-eluting stent (DES) implantation or drug-eluting balloon (DEB) in a patient with stable ischaemic heart disease undergoing ad hoc or staged intervention
Consecutive patients who presented for elective PCI from 1 January 2017 through to 31 December 2019 were prospectively recruited as part of a registry
Summary
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Coronary angiography with PCI in patients with stable ischaemic heart disease (IHD). Has robust data supporting improvements in symptoms and quality of life. PCI remains one of the most frequently performed invasive cardiac procedures [1,2]. Its utility is likely to further increase on the back of recent evidence demonstrating significant reductions in cardiovascular death and myocardial infarction in patients who present with ST elevated myocardial infarctions (STEMIs) who undergo staged PCI for complete coronary revascularisation [3]. The benefits were consistently observed in patients who had elective PCI following their index acute coronary syndrome [3]
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