Discharge after Primary Angioplasty at 24 h: Feasible and Safe or a Step Too Far?

Abstract

Current clinical practice regarding surveillance period and length of hospital stay after an ST elevation myocardial infarction is very variable among different countries and hospitals. In general, there has been a significant reduction in length of stay overall, which is mainly due to the increasing use of primary percutaneous coronary intervention. Length of stay after a ST elevation myocardial infaction, which is a rather common event, has a major impact on health care costs and patients' quality of life. We try to evaluate how far we could push the limits.

Almanac 2013: Acute coronary syndromes the national society journals present selected research that has driven recent advances in clinical cardiology

“…Current practice is widely variable across countries and centres, but it is unclear whether early hospital discharges are safe. 32 It is very reassuring that, despite the continuous reduction in hospital stay, outcomes have significantly improved (figure 1). Two new studies have demonstrated that discharging low risk STEMI patients within 2 days following primary PCI is safe and feasible.…”

Almanac 2013: acute coronary syndromes

“…Current practice is widely variable across countries and centres, but it is unclear whether early hospital discharges are safe 32. It is very reassuring that, despite the continuous reduction in hospital stay, outcomes have significantly improved (figure 1).…”

Almanac 2013: acute coronary syndromes

“…Trenutna praksa je vrlo razliËita meu zemljama i centrima te ostaje nejasno da li je rani otpust iz bolnice siguran. 32 OhrabrujuÊe je da su unatoË kontinuiranom smanjenju duljine boravka u bolnici ishodi lijeËenja znatno poboljπani (Slika 1).…”