Defining the Length of Stay Following Percutaneous Coronary Intervention: An Expert Consensus Document From the Society for Cardiovascular Angiography and Interventions

作者：Chambers Charles E; Dehmer Gregory J; Cox David A; Harrington Robert A; Babb Joseph D; Popma Jeffrey J; Turco Mark A; Weiner Bonnie H; Tommaso Carl L^*

来源：Catheterization and Cardiovascular Interventions, 2009, 73(7): 847-858.

DOI：10.1002/ccd.22100

• percutaneous coronary angioplasty
• outpatient
• cost containment
• quality improvement

Percutaneous coronary intervention (PCI) is the most common method of coronary revascularization. Over time, as operator skills and technical advances have improved procedural outcomes, the length of stay (LOS) has decreased. However, standardization in the definition of LOS following PCI has been challenging due to significant physician, procedural, and patient variables. Given the increased focus on both patient safety as well as the cost of medical care, system process issues are a concern and provide a driving force for standardization while simultaneously maintaining the quality of patient care. This document: (1) provides a summary of the existing published data on same-day patient discharge following PCI, (2) reviews studies that developed methods to predict risk following PCI, and (3) provides clarification of the terms used to define care settings following PCI. In addition, a decision matrix is proposed for the care of patients following PCI. It is intended to provide both the interventional cardiologist as well as the facilities, in which they are associated, a guide to allow for the appropriate LOS for the appropriate patient who could be considered for early discharge or outpatient intervention.

• 出版日期2009-6-1