Author + information
- Poonam Velagapudi1,
- Dhaval Kolte2,
- Kashif Ather2,
- Sahil Khera3,
- Tanush Gupta4,
- Paul Gordon5,
- Herbert Aronow6,
- Ajay Jayant Kirtane7 and
- J. Dawn Abbott8
- 1Columbia University/ New York-Presbyterian Hospital, New York, New York, United States
- 2Brown University, Providence, Rhode Island, United States
- 3Westchester Medical Center, Valhalla, New York, United States
- 4Albert Einstein College of Medicine/ Montefiore Medical Center, Bronx, New York, United States
- 5The Miriam Hospital, providence, Rhode Island, United States
- 6Lifespan Cardiovascular Inst, PROVIDENCE, Rhode Island, United States
- 7Columbia University / New York-Presbyterian Hospital, New York, New Jersey, United States
- 8Brown Medical School, Providence, Rhode Island, United States
Improved procedural techniques and increased use of transradial access have decreased length of stay (LOS) after primary percutaneous coronary intervention (PPCI) for ST-segment elevation myocardial infarction (STEMI). However, there are a subset of patients who continue to require longer LOS.
We used the 2005 to 2014 National Inpatient Sample (NIS) databases to identify all patients ≥18 years of age hospitalized for STEMI who underwent PPCI and were discharged home. Multivariable logistic regression models were used to examine temporal trends in LOS and to identify independent predictors of LOS >3 days.
From 2005 to 2014, 678,545 patients underwent PPCI for STEMI and survived to hospital discharge. The LOS decreased significantly from 3.3±1.9 days in 2005 to 2.7±1.6 days in 2014 (ptrend<0.001) (Fig 1A). There was a marked decrease in the proportion of patients with LOS > 3 days from 31.9% in 2005 to 16.9% in 2014 (Fig 1B). Independent correlates of LOS >3 days are shown in Fig 1C, with the strongest associations observed for complications occurring during the hospital stay and the use of mechanical circulatory support.
LOS in hospitalized STEMI patients treated with PPCI decreased significantly between 2005 and 2014. Post–procedural PPCI complications highly predicted LOS >3 days.
CORONARY: Acute Myocardial Infarction