Premium
Length of stay following percutaneous coronary intervention: An expert consensus document update from the society for cardiovascular angiography and interventions
Author(s) -
Seto Arnold H.,
Shroff Adhir,
AbuFadel Mazen,
Blankenship James C.,
Boudoulas Konstantinos Dean,
Cigarroa Joaquin E.,
Dehmer Gregory J.,
Feldman Dmitriy N.,
Kolansky Daniel M.,
Lata Kusum,
Swaminathan Rajesh V.,
Rao Sunil V.
Publication year - 2018
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.27637
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , reimbursement , psychological intervention , intensive care medicine , stent , medical emergency , cardiology , health care , nursing , myocardial infarction , economic growth , economics
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.