Elsevier

Heart & Lung

Volume 50, Issue 6, November–December 2021, Pages 919-925
Heart & Lung

Changing the model of care during the COVID-19 pandemic: Same-day discharge of patients undergoing elective invasive cardiac procedures in Hong Kong

https://doi.org/10.1016/j.hrtlng.2021.08.001Get rights and content

Highlights

  • No complications identified during the next-day follow-up among same-day discharge patients.

  • The same-day discharge cohort had lower 30-day readmission than the overnight cohort.

  • Radial access is the strongest predictor of same-day discharge.

  • Having percutaneous coronary intervention is the strongest predictor of overnight hospitalization.

Abstract

Background

Despite an evidence-based protocol to facilitate same-day discharge (SDD) of patients undergoing elective intracoronary procedures, overnight hospitalization remains a routine practice.

Objectives

This study aimed to determine the frequency of SDD after intracoronary procedures among patients treated before and during the COVID-19 pandemic, and identify factors predictive of a decision for SDD.

Methods

This retrospective cohort study (N = 680) was based on registry data of a cardiac ambulatory center.

Results

The frequency of SDD was significantly higher in 2020 relative to 2019 (p < 0.001). No complication were identified during the next-day follow-up among SDD cohort. Compared to those who stayed overnight, SDD patients had a lower 30-day readmission rate (p < 0.001), but not 30-day mortality (p = 1.000). Radial access, some procedural-related and comorbidities of patients significantly predicted SDD.

Conclusions

SDD is safe and feasible when a dedicated protocol has been implemented. The findings support the routine use of this practice.

Keywords

Acute coronary syndrome
Coronary artery disease
Percutaneous coronary intervention
Same-day discharge
Cardiac catheterization
Radial access

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