Is Same-Day Discharge Safe After Percutaneous Coronary Intervention?

Same-day discharge patients and those who stayed overnight had similar outcomes, but the small percentage of same-day discharges makes it difficult to assess the overall safety of the approach.

We have few data on the safety of same-day discharge after percutaneous coronary intervention (PCI), a strategy actively encouraged by reimbursement organizations. By linking National Cardiovascular Data Registry records from November 2004 through December 2008 with corresponding data from the Centers for Medicare & Medicaid Services, researchers have now compared outcomes in 1339 Medicare-eligible patients who were discharged on the day of their elective PCI procedure with outcomes in 105,679 patients who stayed overnight.

The two groups had similar baseline characteristics, but same-day discharge patients had significantly shorter procedures and required significantly less contrast agent. Significantly more same-day discharge than overnigh…

Reviewing Author

Howard C. Herrmann, MD

Disclosures

Consultant/Advisory BoardAffluent Medical; Artedrone; Caranx; Johnson & Johnson; Medtronic; Prolifagen; Wells Fargo

EquityMicrointerventional Devices, Inc.

RoyaltiesUniversity of Pennsylvania

Grant/Research SupportAbbott Vascular; Edwards Lifesciences; Johnson & Johnson; Medtronic

Editorial BoardsCatheterization and Cardiovascular Interventions; Journal of the American College of Cardiology; Circulation: Cardiovascular Interventions; JACC Cardiovascular Interventions; JACC Case Reports; JSCAI