Authors : Mahmoud Izraiq, Ayman J. Hammoudeh, Yousef Khader, Ramzi Tabbalat, Imad Alhaddad, Assem Nammas, Mohammad Jarrah, Eyas Al Mousa, Akram Saleh
Background and methods: Long-term safety of same-day (SD) discharge from hospital after percutaneous coronary intervention (PCI) has not been studied in a Middle Eastern patient population. From January 1, 2013, through February 28, 2014, consecutive patients (N=2408) discharged from hospital after PCI were enrolled in this prospective, multicenter registry. There were 747 patients (31.0%) who had SD discharge and 1661 patients (69.0%) who had delayed discharge (DD),i.e., >24 hours after admission. Baseline clinical profiles, coronary angiographic features, details of the PCI procedures, and adverse cardiovascular events were compared in the two groups.
Results: The mean age of the study population was 58.3+10.9 years. Patients in the SD discharge group had similar mean age,proportion of males and prevalence of multivessel coronary artery disease compared with patients in the DD group, but they were less likely to have ST-segment deviation, elevated levels of serum biomarkers, low left ventricular ejection fraction and heart failure than the DD group. At 30 days, 6 months and one year after discharge, the SD group did not have higher rate of adverse cardiovascular events of cardiac death, bleeding events, vascular access site complications or stent thrombosis compared with DD group.
Conclusions: In this contemporary Middle Eastern PCI study, 31% of the patients were discharged <24 hours after admission. SDdischarge was safe and was not associated with excess cardiovascular events compared with those who had delayeddischarge.
Keywords: percutaneous coronary intervention; same-day discharge; cardiovascular outcome; coronary artery disease.