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Early discharge after primary percutaneous coronary intervention
  1. Gerrit J Laarman1,
  2. Maurits T Dirksen2
  1. 1Department of Cardiology, King's College Hospital NHS Foundation Trust, London, UK
  2. 2Department of Cardiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands
  1. Correspondence to Dr Gerrit J. Laarman, Department of Cardiology, King's College Hospital NHS Foundation Trust, Denmark Hill, London SE5 9RS, UK; gjlaarman{at}gmail.com

Abstract

The length of hospital stay after a successful percutaneous coronary intervention (PCI) for acute myocardial infarction is subject of debate. Patients should not be kept in hospital longer than strictly needed in terms of safety, psycho-social reasons, adequate mobilisation and patient comfort. In many tertiary centres with a busy PCI program insufficient bed capacity is an ongoing concern. Moreover, it seems obvious that shorter hospital stay will lead to a significant cost reduction. In order to know if very early discharge after primary PCI is feasible and safe one should identify the events that might threaten the patient as well as the timing of occurrence of such events. As a result a relatively large proportion of patients with a very low risk of early complications can be defined and in those patients very early discharge is indicated.

  • Acute myocardial infarction
  • delivery of care
  • primary percutaneous coronary intervention
  • shortstay
  • STEMI

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Footnotes

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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