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Defining the length of stay following percutaneous coronary intervention
Author(s) -
Chambers Charles E.,
Dehmer Gregory J.,
Cox David A.,
Harrington Robert A.,
Babb Joseph D.,
Popma Jeffrey J.,
Turco Mark A.,
Weiner Bonnie H.,
Tommaso Carl L.
Publication year - 2009
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22100
Subject(s) - conventional pci , medicine , percutaneous coronary intervention , standardization , medical emergency , intervention (counseling) , quality management , emergency medicine , intensive care medicine , medical physics , cardiology , operations management , nursing , myocardial infarction , management system , political science , economics , law
Percutaneous coronary intervention (PCI) is the most common method of coronary revascularization. Over time, as operator skills and technical advances have improved procedural outcomes, the length of stay (LOS) has decreased. However, standardization in the definition of LOS following PCI has been challenging due to significant physician, procedural, and patient variables. Given the increased focus on both patient safety as well as the cost of medical care, system process issues are a concern and provide a driving force for standardization while simultaneously maintaining the quality of patient care. This document: (1) provides a summary of the existing published data on same‐day patient discharge following PCI, (2) reviews studies that developed methods to predict risk following PCI, and (3) provides clarification of the terms used to define care settings following PCI. In addition, a decision matrix is proposed for the care of patients following PCI. It is intended to provide both the interventional cardiologist as well as the facilities, in which they are associated, a guide to allow for the appropriate LOS for the appropriate patient who could be considered for early discharge or outpatient intervention. © 2009 Wiley‐Liss, Inc.