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Adoption of same day discharge following elective left main stem percutaneous coronary intervention.


ABSTRACT:

Background

This study sought to investigate the safety and feasibility of same day discharge (SDD) practice and compare clinical outcomes to patients admitted for overnight stay (ON) undergoing elective left main stem (LMS) percutaneous coronary intervention (PCI). ON observation is still widely practiced in highly complex PCI as the standard of care, with no previous data comparing clinical outcomes in patients undergoing LMS PCI.

Methods

We analysed 6452 patients undergoing elective LMS PCI between 2007 and 2014 in England and Wales. Multiple logistic regressions and the BCIS risk model were used to study association between SDD and 30 day mortality.

Results

SDD rates almost doubled from 19.9% in 2007 to 39.8% in 2014 for all LMS procedures and increased from 20.7%

SUBMITTER: Taxiarchi P 

PROVIDER: S-EPMC7392050 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature