Early discharge after primary percutaneous coronary intervention for ST-elevation myocardial infarction

Awsan Noman, Azfar G. Zaman, Clyde B. Schechter, Karthik Balasubramaniam, Rajiv Das

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: To assess safety of early discharge following primary percutaneous coronary intervention (PPCI) for ST-elevation myocardial infarction (STEMI). Methods and results: Retrospective analysis of prospectively collected data of 2448 STEMI patients treated with PPCI surviving to hospital discharge. Post-discharge all-cause mortality was reported at 1, 7, and 30 days and long-term follow up. A total of 1542 patients (63.0%) were discharged within 2 days of admission (early discharge group) and 906 patients (37.0%) after 2 days (late discharge group). In both groups, no deaths were recorded 1 day post discharge. The early and late discharge group mortality figures for 7 days were 0 and 4 patients (0.04%) and between 7 and 30 days were 11 (0.7%) and 11 patients (1.2%), respectively. During a mean follow up of 584 days, 178 patients (7.3%) died: 67 in the early discharge group (4.3%) and 111 in the late discharge group (12.3%). Conclusions: This exploratory, observational study demonstrates that discharging low-risk STEMI patients within 2 days following PPCI is safe. For providers of health care, early discharge can help to allay the cost of providing a 24-hour PPCI service and adds to the recognized benefits arising from PPCI.

Original languageEnglish (US)
Pages (from-to)262-269
Number of pages8
JournalEuropean Heart Journal: Acute Cardiovascular Care
Volume2
Issue number3
DOIs
StatePublished - 2013

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Percutaneous Coronary Intervention
Mortality
ST Elevation Myocardial Infarction
Health Personnel
Observational Studies
Safety
Costs and Cost Analysis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Early discharge after primary percutaneous coronary intervention for ST-elevation myocardial infarction. / Noman, Awsan; Zaman, Azfar G.; Schechter, Clyde B.; Balasubramaniam, Karthik; Das, Rajiv.

In: European Heart Journal: Acute Cardiovascular Care, Vol. 2, No. 3, 2013, p. 262-269.

Research output: Contribution to journalArticle

Noman, Awsan ; Zaman, Azfar G. ; Schechter, Clyde B. ; Balasubramaniam, Karthik ; Das, Rajiv. / Early discharge after primary percutaneous coronary intervention for ST-elevation myocardial infarction. In: European Heart Journal: Acute Cardiovascular Care. 2013 ; Vol. 2, No. 3. pp. 262-269.
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