Catheterization and Cardiovascular Interventions

Defining the length of stay following percutaneous coronary intervention†

An expert consensus document from the society for cardiovascular angiography and interventions endorsed by the American college of cardiology foundation

  1. Charles E. Chambers MD1,
  2. Gregory J. Dehmer MD2,
  3. David A. Cox MD3,
  4. Robert A. Harrington MD4,
  5. Joseph D. Babb MD5,
  6. Jeffrey J. Popma MD6,
  7. Mark A. Turco MD7,
  8. Bonnie H. Weiner MD8,
  9. Carl L. Tommaso MD9,*

Article first published online: 27 APR 2009

DOI: 10.1002/ccd.22100

Issue

Catheterization and Cardiovascular Interventions

Catheterization and Cardiovascular Interventions

Volume 73, Issue 7, pages 847–858, 1 June 2009

Additional Information

How to Cite

Chambers, C. E., Dehmer, G. J., Cox, D. A., Harrington, R. A., Babb, J. D., Popma, J. J., Turco, M. A., Weiner, B. H. and Tommaso, C. L. (2009), Defining the length of stay following percutaneous coronary intervention. Catheterization and Cardiovascular Interventions, 73: 847–858. doi: 10.1002/ccd.22100

Author Information

  1. 1

    Pennsylvania State University Hershey Medical Center, Hershey, Pennsylvania

  2. 2

    Cardiology Division, Texas A&M Health Science Center, College of Medicine, Cardiology Division Scott & White Healthcare, Temple, Texas

  3. 3

    Lehigh Valley Hospital, Allentown, Pennsylvania

  4. 4

    Division of Cardiology, Duke Clinical Research Institute, Durham, North Carolina

  5. 5

    East Carolina University Brody School of Medicine, Greenville, North Carolina

  6. 6

    Department of Medicine, Harvard Medical School, Boston, Massachusetts

  7. 7

    Washington Adventist Hospital, Takoma Park, Maryland

  8. 8

    St. Vincent Hospital, Harvard, Worcester, Massachusetts

  9. 9

    North Shore University Health System, Skokie, Illinois

*Associate Professor of Medicine, Rush University Medical School, Director, Cardiac Catheterization Laboratory, The Skokie Hospital/North Shore University Health System, Suite 601, 9669 N. Kenton Avenue, Skokie, IL 60076

  1. †

    Conflict of interest: Nothing to report.

Publication History

  1. Issue published online: 19 MAY 2009
  2. Article first published online: 27 APR 2009
  3. Accepted manuscript online: 27 APR 2009 12:00AM EST
  4. Manuscript Revised: 10 APR 2009
  5. Manuscript Received: 9 APR 2009

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Keywords:

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

Abstract

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. © 2009 Wiley-Liss, Inc.

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