Perkutan koronarintervention kan göras polikliniskt. Patientsäker metod vid tidig utskrivning - om kriterier är uppfyllda
Engelsk titel: Percutaneous coronary intervention can be done on an outpatient basis. Patient safe method in early discharge - if the criteria are met
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Författare:
Vazda, Mahir
;
Varenhorst, Christoph
;
Eggers, Kai
Email: kai.eggers@ucr.uu.se
Språk: Swe
Antal referenser: 10
Dokumenttyp:
Artikel
UI-nummer: 15047053
Sammanfattning
Due to technical and medical advances, the complication rate associated with elective percutaneous coronary intervention (PCI) has
decreased considerably during the past decades. Accordingly, patients might be scheduled for same-day discharge without exposing them
to an increased risk. We conducted a retrospective single-center study to test such an approach. Overall, we noted no difference in the 30-
day complication rate in a total of 128 angina patients undergoing elective PCI before and after implementation of a same-day discharge
policy. The only variable associated with an increased complication rate was PCI of >2 coronary segments. These patients as well as those
with PCI of left main or bifurcational stenoses, femoral access and reduced well-being are recommended to stay at the hospital according to
routines at our institution. In summary, our data indicate that same-day discharge after elective PCI is safe provided that suitable patients
are identified by appropriate criteria.