Author + information
- Ibrahim Kassas,
- Barinder Hansra,
- Aditya Vaze,
- Adedotun Ogunsua,
- Deeqo Mohamud,
- Michael Gagnier,
- Summer Aldrugh,
- Antoine Soueid,
- Ahmed Nagy,
- Jason Stencel,
- Margaret Oliverio,
- Kurt Barringhaus and
- Mohammed Akhter
Background: Historically, patients undergoing percutaneous coronary intervention (PCI) remain hospitalized for observation overnight. However, with transradial approach, patients may be discharged during the day of procedure, although data supporting its safety is lacking.
Methods: We analyzed data from all patients who were discharged after PCIs for Non-ST Elevation Acute Coronary Syndromes (NSTE-ACS) between 2011 and 2014 to identify the safety of same-day discharge in terms of 30-day readmission, bleeding and mortality. Patients were risk-stratified clinically using Framingham 10-year risk for Cardiovascular Disease and angiographically using Gensini score.
Results: Same-day discharge occurred with 532/2273 (23%) PCIs for NSTE-ACS. Transradial access was used more often with same day discharge PCIs compared with next-day discharge (93% vs 83%; p<0.001). Logistic regression modeling adjusted for Gensini and Framingham risk scores revealed that rapid discharge was not predictive of 30-day readmission (p=0.1), death (p=0.9) or bleeding (p=0.3). However, unadjusted modeling showed that next-day discharge was predictive of readmission (p=0.03). Neither Gensini nor Framingham risk scores were predictive of readmission, death or bleeding after PCI.
Conclusions: Same-day discharge after PCIs for NSTE-ACS is not predictive of 30-day readmission, death or bleeding, suggesting that same day discharge in selected patients is likely safe even in those with high clinical or angiographic risk
Saturday, March 18, 2017, 9:04 a.m.-9:14 a.m.
Session Title: Highlighted Original Research: Interventional Cardiology and the Year in Review
Abstract Category: 26. Interventional Cardiology: Vascular Access and Complications
Presentation Number: 903-12
- 2017 American College of Cardiology Foundation