Same-day discharge after elective percutaneous coronary intervention: A single-center experience

Abstract

Advances in vascular access techniques, stent technology, and anti-platelet therapy have facilitated changes in discharge patterns following percutaneous coronary intervention (PCI). Overnight stay strategy remains the reference attitude although no recommendation has been published regarding the optimal duration of surveillance after uncomplicated PCI. To assess the feasibility and safety of same-day discharge (SDD) after elective PCI in Rouen University Hospital. All consecutive patients with stable coronary artery disease (CAD) scheduled for elective PCI in Rouen University Hospital between October 2017 and May 2018 were prospectively enrolled in our study. The eligibility criteria of same-day discharge (after 4 to 6 hours of surveillance) have been defined a priori . We evaluated the feasibility of same-day discharge and its safety by a combined endpoint including 30-day mortality, myocardial infarction, stent thrombosis, stroke, vascular complication, and readmission. From October 2017 and May 2018, 246 patients were included and 52 (21%) were discharged the same day (SDD patients). SDD patients were significantly younger than patients with overnight hospitalization (66.5 ± 11.4 vs. 70.3 ± 11.2 years, P = 0.03). A radial approach was more frequent in the SDD group (88.4% vs. 63.9%, P = 0.001). No major complications occurred during hospital surveillance in both groups and no events occurred within 30 days in SDD patients. Same-day discharge after elective PCI is feasible and safe in patients with stable CAD. Further studies are required to confirm our results and to evaluate the medico-economic impact of this strategy.