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 article

    15 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

    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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  • Cite this

    Seto, A. H., Shroff, A., Abu-Fadel, M., Blankenship, J. C., Boudoulas, K. D., Cigarroa, J. E., Dehmer, G. J., Feldman, D. N., Kolansky, D. M., Lata, K., Swaminathan, R. V., & Rao, S. V. (2018). Length of stay following percutaneous coronary intervention: An expert consensus document update from the society for cardiovascular angiography and interventions. Catheterization and Cardiovascular Interventions, 92(4), 717-731. https://doi.org/10.1002/ccd.27637