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

Arnold H. Seto, Adhir Shroff, Mazen Abu-Fadel, James C. Blankenship, Konstantinos Dean Boudoulas, Joaquin E. Cigarroa, Gregory J. Dehmer, Dmitriy N. Feldman, Daniel M. Kolansky, Kusum Lata, Rajesh V. Swaminathan, Sunil V. Rao

Research output: Contribution to journalReview articlepeer-review

45 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)717-731
Number of pages15
JournalCatheterization and Cardiovascular Interventions
Volume92
Issue number4
DOIs
StatePublished - Oct 1 2018
Externally publishedYes

Keywords

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

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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