Same-Day Discharge After Elective PCI Saves Costs

Although used infrequently, same-day discharge after percutaneous coronary intervention was associated with >US$5000 savings per case.

Same-day discharge (SDD) after elective percutaneous coronary intervention (PCI) is feasible, but little data exist on the frequency, risks, and costs in the U.S. To examine this issue, investigators analyzed administrative claims data (the Premier Healthcare Database).

The study population included 672,470 patients undergoing elective PCI in 493 U.S. hospitals between 2006 and 2015. SDD (same day for admission and discharge) was identified in 62,290 patients (9%; mean age, 65; 29% women). The rate of SDD varied from 4.6% to 10.7% across hospitals with ≥100 to ≥500 beds, respectively; after adjustment for hospital variation, the SDD rate was 3.5%. Adjusted annual rates increased steadily from 0.4% in 2006 to 6.3% in 2015. SDD was not associa…

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

Leadership Positions in Professional SocietiesHeart Valve Collaboratory (Scientific Committee Member, Chair of the Publications Committee)