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Predictors of same day discharge after percutaneous coronary interventions
Abstract Objectives The aim of this study is to identify possible predictors for same day discharge (SDD) after percutaneous coronary interventions (PCI). Background Same day discharge after PCI is becoming more and more appealing and patient's selection criteria are being formulated. Methods A...
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| Published in: | Cardiovascular revascularization medicine 2017-06, Vol.18 (4), p.241-244 |
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| container_title | Cardiovascular revascularization medicine |
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| creator | Koutouzis, Michail Agelaki, Maria Maniotis, Christos Dimitriou, Panagiotis Tsoulmeleas, Andreas Matsoukis, Ioannis Andreou, Constantinos Lazaris, Efstathios |
| description | Abstract Objectives The aim of this study is to identify possible predictors for same day discharge (SDD) after percutaneous coronary interventions (PCI). Background Same day discharge after PCI is becoming more and more appealing and patient's selection criteria are being formulated. Methods A retrospective analysis was performed in all PCI procedures from January 2013 until December 2015. Patients were discharged the same day (SDD group) or had at least one overnight stay (non SDD group). The decision of SDD or not was on treating physician discretion. We evaluated predictors of SDD decision by a logistic regression analysis. Results One thousand one hundred sixty eight procedures were performed from our Department during the study period: 308 patients (26.4%) were discharged the same day (SDD group) and the rest 860 procedures (73.6%) had at least one overnight stay (non SDD group). Multivariate analysis revealed that forearm approach (OR = 5.498, CI: 2.067–14.629; p = |
| doi_str_mv | 10.1016/j.carrev.2017.01.003 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1861519959</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1553838917300052</els_id><sourcerecordid>1861519959</sourcerecordid><originalsourceid>FETCH-LOGICAL-c417t-6cc89f96a4056c47f0a48cd34050317dd3ddd473f3e5ad8f33ac27254f20968c3</originalsourceid><addsrcrecordid>eNqFkU1v1DAQhq0KRD_gH6AqRy4J4ziJ7QsSqqAtqgQScLbc8bh4m40XO1lp_329SuHAhZPHmndm3nmGsbccGg58eL9p0KZE-6YFLhvgDYA4YWdcSVWDFupFifte1EoofcrOc94UgWwH-YqdtgqUlnI4Y1--JXIB55hyFX2V7ZYqZw-VCxl_2fRAlfUzpWpHCZfZThSXXGFMcbLpUIWp5PY0zSFO-TV76e2Y6c3ze8F-fv704-qmvvt6fXv18a7Gjsu5HhCV9nqwHfQDdtKD7RQ6Ub4guHROOOc6Kbyg3jrlhbDYyrbvfAt6UCgu2Lu17y7F3wvl2WyLWRrH1Z3hauA917rXRdqtUkwx50Te7FLYFueGgzlSNBuzUjRHiga4KZBK2eXzhOV-S-5v0R9sRfBhFVDZcx8omYyBJiwoE-FsXAz_m_BvAxzDFNCOj3SgvIlLmgpDw01uDZjvx0seD8mlAIC-FU-7rpqv</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1861519959</pqid></control><display><type>article</type><title>Predictors of same day discharge after percutaneous coronary interventions</title><source>ScienceDirect Freedom Collection 2022-2024</source><creator>Koutouzis, Michail ; Agelaki, Maria ; Maniotis, Christos ; Dimitriou, Panagiotis ; Tsoulmeleas, Andreas ; Matsoukis, Ioannis ; Andreou, Constantinos ; Lazaris, Efstathios</creator><creatorcontrib>Koutouzis, Michail ; Agelaki, Maria ; Maniotis, Christos ; Dimitriou, Panagiotis ; Tsoulmeleas, Andreas ; Matsoukis, Ioannis ; Andreou, Constantinos ; Lazaris, Efstathios</creatorcontrib><description>Abstract Objectives The aim of this study is to identify possible predictors for same day discharge (SDD) after percutaneous coronary interventions (PCI). Background Same day discharge after PCI is becoming more and more appealing and patient's selection criteria are being formulated. Methods A retrospective analysis was performed in all PCI procedures from January 2013 until December 2015. Patients were discharged the same day (SDD group) or had at least one overnight stay (non SDD group). The decision of SDD or not was on treating physician discretion. We evaluated predictors of SDD decision by a logistic regression analysis. Results One thousand one hundred sixty eight procedures were performed from our Department during the study period: 308 patients (26.4%) were discharged the same day (SDD group) and the rest 860 procedures (73.6%) had at least one overnight stay (non SDD group). Multivariate analysis revealed that forearm approach (OR = 5.498, CI: 2.067–14.629; p = <0.001), patient's residency proximal to the hospital (OR = 4.543, CI: 2.406–8.580; p < 0.001), completion of the procedure before 13,00 p.m. (OR = 3.437, CI: 1.789–0.6.601; p < 0.001) and the success of the performed procedure (OR = 1.125, CI 1.043–2.135; p = 0.044) were positive predictors of SDD, while presentation with non-ST elevation myocardial infarction or unstable angina (OR = 0.542, CI: 0.268–0.872; p < 0.010) and amount of contrast used (OR = 0.910, CI: 0.852–0.969; p < 0.030) were negative predictors of SDD. Conclusion In retrospect, both procedural and demographic details play a crucial role in patient selection for same day discharge post coronary percutaneous intervention.</description><identifier>ISSN: 1553-8389</identifier><identifier>EISSN: 1878-0938</identifier><identifier>DOI: 10.1016/j.carrev.2017.01.003</identifier><identifier>PMID: 28089776</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Cad ; Cardiovascular ; Chi-Square Distribution ; Clinical Decision-Making ; Coronary Artery Disease - diagnosis ; Coronary Artery Disease - therapy ; Decision Support Techniques ; Female ; Humans ; Logistic Models ; Longevity ; Male ; Middle Aged ; Multivariate Analysis ; Odds Ratio ; Patient Discharge ; Patient Selection ; PCI ; Percutaneous Coronary Intervention - adverse effects ; Predictive Value of Tests ; Registries ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Same day discharge ; Time Factors ; Treatment Outcome</subject><ispartof>Cardiovascular revascularization medicine, 2017-06, Vol.18 (4), p.241-244</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-6cc89f96a4056c47f0a48cd34050317dd3ddd473f3e5ad8f33ac27254f20968c3</citedby><cites>FETCH-LOGICAL-c417t-6cc89f96a4056c47f0a48cd34050317dd3ddd473f3e5ad8f33ac27254f20968c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28089776$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koutouzis, Michail</creatorcontrib><creatorcontrib>Agelaki, Maria</creatorcontrib><creatorcontrib>Maniotis, Christos</creatorcontrib><creatorcontrib>Dimitriou, Panagiotis</creatorcontrib><creatorcontrib>Tsoulmeleas, Andreas</creatorcontrib><creatorcontrib>Matsoukis, Ioannis</creatorcontrib><creatorcontrib>Andreou, Constantinos</creatorcontrib><creatorcontrib>Lazaris, Efstathios</creatorcontrib><title>Predictors of same day discharge after percutaneous coronary interventions</title><title>Cardiovascular revascularization medicine</title><addtitle>Cardiovasc Revasc Med</addtitle><description>Abstract Objectives The aim of this study is to identify possible predictors for same day discharge (SDD) after percutaneous coronary interventions (PCI). Background Same day discharge after PCI is becoming more and more appealing and patient's selection criteria are being formulated. Methods A retrospective analysis was performed in all PCI procedures from January 2013 until December 2015. Patients were discharged the same day (SDD group) or had at least one overnight stay (non SDD group). The decision of SDD or not was on treating physician discretion. We evaluated predictors of SDD decision by a logistic regression analysis. Results One thousand one hundred sixty eight procedures were performed from our Department during the study period: 308 patients (26.4%) were discharged the same day (SDD group) and the rest 860 procedures (73.6%) had at least one overnight stay (non SDD group). Multivariate analysis revealed that forearm approach (OR = 5.498, CI: 2.067–14.629; p = <0.001), patient's residency proximal to the hospital (OR = 4.543, CI: 2.406–8.580; p < 0.001), completion of the procedure before 13,00 p.m. (OR = 3.437, CI: 1.789–0.6.601; p < 0.001) and the success of the performed procedure (OR = 1.125, CI 1.043–2.135; p = 0.044) were positive predictors of SDD, while presentation with non-ST elevation myocardial infarction or unstable angina (OR = 0.542, CI: 0.268–0.872; p < 0.010) and amount of contrast used (OR = 0.910, CI: 0.852–0.969; p < 0.030) were negative predictors of SDD. Conclusion In retrospect, both procedural and demographic details play a crucial role in patient selection for same day discharge post coronary percutaneous intervention.</description><subject>Aged</subject><subject>Cad</subject><subject>Cardiovascular</subject><subject>Chi-Square Distribution</subject><subject>Clinical Decision-Making</subject><subject>Coronary Artery Disease - diagnosis</subject><subject>Coronary Artery Disease - therapy</subject><subject>Decision Support Techniques</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Longevity</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Odds Ratio</subject><subject>Patient Discharge</subject><subject>Patient Selection</subject><subject>PCI</subject><subject>Percutaneous Coronary Intervention - adverse effects</subject><subject>Predictive Value of Tests</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Same day discharge</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1553-8389</issn><issn>1878-0938</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqFkU1v1DAQhq0KRD_gH6AqRy4J4ziJ7QsSqqAtqgQScLbc8bh4m40XO1lp_329SuHAhZPHmndm3nmGsbccGg58eL9p0KZE-6YFLhvgDYA4YWdcSVWDFupFifte1EoofcrOc94UgWwH-YqdtgqUlnI4Y1--JXIB55hyFX2V7ZYqZw-VCxl_2fRAlfUzpWpHCZfZThSXXGFMcbLpUIWp5PY0zSFO-TV76e2Y6c3ze8F-fv704-qmvvt6fXv18a7Gjsu5HhCV9nqwHfQDdtKD7RQ6Ub4guHROOOc6Kbyg3jrlhbDYyrbvfAt6UCgu2Lu17y7F3wvl2WyLWRrH1Z3hauA917rXRdqtUkwx50Te7FLYFueGgzlSNBuzUjRHiga4KZBK2eXzhOV-S-5v0R9sRfBhFVDZcx8omYyBJiwoE-FsXAz_m_BvAxzDFNCOj3SgvIlLmgpDw01uDZjvx0seD8mlAIC-FU-7rpqv</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Koutouzis, Michail</creator><creator>Agelaki, Maria</creator><creator>Maniotis, Christos</creator><creator>Dimitriou, Panagiotis</creator><creator>Tsoulmeleas, Andreas</creator><creator>Matsoukis, Ioannis</creator><creator>Andreou, Constantinos</creator><creator>Lazaris, Efstathios</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170601</creationdate><title>Predictors of same day discharge after percutaneous coronary interventions</title><author>Koutouzis, Michail ; Agelaki, Maria ; Maniotis, Christos ; Dimitriou, Panagiotis ; Tsoulmeleas, Andreas ; Matsoukis, Ioannis ; Andreou, Constantinos ; Lazaris, Efstathios</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-6cc89f96a4056c47f0a48cd34050317dd3ddd473f3e5ad8f33ac27254f20968c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Cad</topic><topic>Cardiovascular</topic><topic>Chi-Square Distribution</topic><topic>Clinical Decision-Making</topic><topic>Coronary Artery Disease - diagnosis</topic><topic>Coronary Artery Disease - therapy</topic><topic>Decision Support Techniques</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Longevity</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Odds Ratio</topic><topic>Patient Discharge</topic><topic>Patient Selection</topic><topic>PCI</topic><topic>Percutaneous Coronary Intervention - adverse effects</topic><topic>Predictive Value of Tests</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Same day discharge</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koutouzis, Michail</creatorcontrib><creatorcontrib>Agelaki, Maria</creatorcontrib><creatorcontrib>Maniotis, Christos</creatorcontrib><creatorcontrib>Dimitriou, Panagiotis</creatorcontrib><creatorcontrib>Tsoulmeleas, Andreas</creatorcontrib><creatorcontrib>Matsoukis, Ioannis</creatorcontrib><creatorcontrib>Andreou, Constantinos</creatorcontrib><creatorcontrib>Lazaris, Efstathios</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiovascular revascularization medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koutouzis, Michail</au><au>Agelaki, Maria</au><au>Maniotis, Christos</au><au>Dimitriou, Panagiotis</au><au>Tsoulmeleas, Andreas</au><au>Matsoukis, Ioannis</au><au>Andreou, Constantinos</au><au>Lazaris, Efstathios</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of same day discharge after percutaneous coronary interventions</atitle><jtitle>Cardiovascular revascularization medicine</jtitle><addtitle>Cardiovasc Revasc Med</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>18</volume><issue>4</issue><spage>241</spage><epage>244</epage><pages>241-244</pages><issn>1553-8389</issn><eissn>1878-0938</eissn><abstract>Abstract Objectives The aim of this study is to identify possible predictors for same day discharge (SDD) after percutaneous coronary interventions (PCI). Background Same day discharge after PCI is becoming more and more appealing and patient's selection criteria are being formulated. Methods A retrospective analysis was performed in all PCI procedures from January 2013 until December 2015. Patients were discharged the same day (SDD group) or had at least one overnight stay (non SDD group). The decision of SDD or not was on treating physician discretion. We evaluated predictors of SDD decision by a logistic regression analysis. Results One thousand one hundred sixty eight procedures were performed from our Department during the study period: 308 patients (26.4%) were discharged the same day (SDD group) and the rest 860 procedures (73.6%) had at least one overnight stay (non SDD group). Multivariate analysis revealed that forearm approach (OR = 5.498, CI: 2.067–14.629; p = <0.001), patient's residency proximal to the hospital (OR = 4.543, CI: 2.406–8.580; p < 0.001), completion of the procedure before 13,00 p.m. (OR = 3.437, CI: 1.789–0.6.601; p < 0.001) and the success of the performed procedure (OR = 1.125, CI 1.043–2.135; p = 0.044) were positive predictors of SDD, while presentation with non-ST elevation myocardial infarction or unstable angina (OR = 0.542, CI: 0.268–0.872; p < 0.010) and amount of contrast used (OR = 0.910, CI: 0.852–0.969; p < 0.030) were negative predictors of SDD. Conclusion In retrospect, both procedural and demographic details play a crucial role in patient selection for same day discharge post coronary percutaneous intervention.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28089776</pmid><doi>10.1016/j.carrev.2017.01.003</doi><tpages>4</tpages></addata></record> |
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| subjects | Aged Cad Cardiovascular Chi-Square Distribution Clinical Decision-Making Coronary Artery Disease - diagnosis Coronary Artery Disease - therapy Decision Support Techniques Female Humans Logistic Models Longevity Male Middle Aged Multivariate Analysis Odds Ratio Patient Discharge Patient Selection PCI Percutaneous Coronary Intervention - adverse effects Predictive Value of Tests Registries Retrospective Studies Risk Assessment Risk Factors Same day discharge Time Factors Treatment Outcome |
| title | Predictors of same day discharge after percutaneous coronary interventions |
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