Author + information
- Ali Hama Amin,
- Sami Aljohani,
- Peter Farjo,
- Kinjan Patel,
- Mohammad Akram Kawsara,
- Fahad Alqahtani,
- Chalak Berzingi,
- Anthony Roda-Renzelli,
- Jason Moreland,
- Wissam Gharib and
- Mohamad Alkhouli
Background: The safety of same day discharge (SDD) after percutaneous coronary interventions (PCI) has been demonstrated, but was only allowed in patients meeting strict arbitrary criteria. We aim to evaluate the feasibility and safety of SDD following elective PCI in all comers.
Methods: Patients presenting for coronary angiography ± PCI between 2012–2016 were included. SDD was planned for all patients (SDD success), but overnight admission was permitted at the discretion of the treating physician (SDD failure). Reasons for hospital admission, in-hospital and 30-days outcomes were assessed.
Results: Out of 3355 patients undergoing PCI during the study period, 691 (21%) presented electively. Of those, 539/691 (78%) were successfully discharged on the same day. Predictors of SDD failure were procedural complications (OR:10.2, p=0.004), atherectomy (OR:9.7, p=0.016), GPIIb-IIIa (OR:4.7, p=0.014), left ventricular dysfunction (OR:3.1, p=0.05) and femoral access (OR: 1.938, p=0.016). There was no difference in adverse events between patients discharged same day and those admitted for observation.
Conclusions: SDD is safe and feasible following the majority of elective PCIs. Certain procedural and patient's characteristics should be considered when evaluating patients for SDD.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: PCI for NSTEMI and Complex Patients With Multiple Co-Morbidities
Abstract Category: 19. Interventional Cardiology: Complex Patients/Comorbidities
Presentation Number: 1154-136
- 2017 American College of Cardiology Foundation