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This study sought to assess the safety of same-day discharge in patients undergoing percutaneous coronary intervention (PCI).The safety of same-day discharge has previously been evaluated primarily in small, single-center studies.We conducted a meta-analysis of studies reporting outcomes of patients discharged on the same day as PCI. Demographic data, procedural characteristics, and adverse outcomes were collected. Two composite outcomes were pre-specified: 1) death, myocardial infarction (MI), or target lesion revascularization (TLR); and 2) major bleeding or vascular complications.Data from 12,803 patients in 37 studies were collated, including 7 randomized controlled trials (RCTs) (n = 2,738) and 30 observational studies (n = 10,065). The majority of patients in both cohorts underwent PCI for stable angina. The vascular access site was predominantly transradial in the randomized cohort (60.8

作者:Kimberly M, Brayton;Vishal G, Patel;Christopher, Stave;James A, de Lemos;Dharam J, Kumbhani

来源:Journal of the American College of Cardiology 2013 年 62卷 4期

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作者:
Kimberly M, Brayton;Vishal G, Patel;Christopher, Stave;James A, de Lemos;Dharam J, Kumbhani
来源:
Journal of the American College of Cardiology 2013 年 62卷 4期
标签:
ACS CAD MI PCI RCT TLR acute coronary syndrome coronary artery disease myocardial infarction percutaneous coronary intervention randomized controlled trial same-day discharge target lesion revascularization
This study sought to assess the safety of same-day discharge in patients undergoing percutaneous coronary intervention (PCI).The safety of same-day discharge has previously been evaluated primarily in small, single-center studies.We conducted a meta-analysis of studies reporting outcomes of patients discharged on the same day as PCI. Demographic data, procedural characteristics, and adverse outcomes were collected. Two composite outcomes were pre-specified: 1) death, myocardial infarction (MI), or target lesion revascularization (TLR); and 2) major bleeding or vascular complications.Data from 12,803 patients in 37 studies were collated, including 7 randomized controlled trials (RCTs) (n = 2,738) and 30 observational studies (n = 10,065). The majority of patients in both cohorts underwent PCI for stable angina. The vascular access site was predominantly transradial in the randomized cohort (60.8