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Catheter Cardiovasc Interv. 2018 Oct 1;92(4):717-731. doi: 10.1002/ccd.27637. Epub 2018 Apr 24.

Length of stay following percutaneous coronary intervention: An expert consensus document update from the society for cardiovascular angiography and interventions.

Author information

1
Department of Medicine, Long Beach Veterans Affairs Healthcare System, Long Beach, California.
2
Department of Medicine, University of Illinois at Chicago, Chicago, Illinois.
3
Department of Internal Medicine, Section of Cardiovascular Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
4
Department of Cardiology, Section of Interventional Cardiology, Geisinger Medical Center, Danville, Pennsylvania.
5
Department of Medicine/Cardiovascular Medicine, The Ohio State University, Ohio.
6
Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon.
7
Department of Medicine (Cardiology Division) Texas A&M University College of Medicine, Scott & White Medical Center, Temple, Texas.
8
New York-Presbyterian Hospital, Weill Cornell Medical College, New York, New York.
9
Cardiovascular Medicine Division, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
10
Sutter Tracy Community Hospital, Sutter Medical Network, Tracy, California.
11
Division of Cardiology, Duke Clinical Research Institute, Durham, North Carolina.

Abstract

Since the publication of the 2009 SCAI Expert Consensus Document on Length of Stay Following percutaneous coronary intervention (PCI), advances in vascular access techniques, stent technology, and antiplatelet pharmacology have facilitated changes in discharge patterns following PCI. Additional clinical studies have demonstrated the safety of early and same day discharge in selected patients with uncomplicated PCI, while reimbursement policies have discouraged unnecessary hospitalization. This consensus update: (1) clarifies clinical and reimbursement definitions of discharge strategies, (2) reviews the technological advances and literature supporting reduced hospitalization duration and risk assessment, and (3) describes changes to the consensus recommendations on length of stay following PCI (Supporting Information Table S1). These recommendations are intended to support reasonable clinical decision making regarding postprocedure length of stay for a broad spectrum of patients undergoing PCI, rather than prescribing a specific period of observation for individual patients.

KEYWORDS:

outpatient; percutaneous coronary intervention; quality improvement; same-day discharge

PMID:
29691963
DOI:
10.1002/ccd.27637

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