Same-day discharge after percutaneous coronary procedures-Consensus statement of the working group of interventional cardiology (AGIK) of the Austrian Society of Cardiology

Austrian working group of interventional cardiology, Julia Mascherbauer

Research output: Journal article (peer-reviewed)Journal article

Abstract

INTRODUCTION: Percutaneous coronary intervention is a well-established revascularization strategy for patients with coronary artery disease. Recent technical advances such as radial access, third generation drug-eluting stents and highly effective antiplatelet therapy have substantially improved the safety profile of coronary procedures. Despite several practice guidelines and a clear patient preference of early hospital discharge, the percentage of coronary procedures performed in an outpatient setting in Austria remains low, mostly due to safety concerns.

METHODS: The aim of this consensus statement is to provide a practical framework for the safe and effective implementation of coronary outpatient clinics in Austria. Based on a structured literature review and an in-depth analysis of available practice guidelines a consensus statement was developed and peer-reviewed within the working group of interventional cardiology (AGIK) of the Austrian Society of Cardiology.

RESULTS: Based on the available literature same-day discharge coronary procedures show a favorable safety profile with no increase in the risk of major adverse events compared to an overnight stay. This document provides a detailed consensus in various clinical settings. The most important prerequisite for same-day discharge is, however, adequate selection of suitable patients and a structured peri-interventional and postinterventional management plan.

CONCLUSION: Based on the data analysis this consensus document provides detailed practice guidelines for the safe operation of daycare cathlab programs in Austria.

Original languageEnglish
Pages (from-to)61-74
Number of pages14
JournalWiener Klinische Wochenschrift
Volume136
Issue numberSuppl 3
DOIs
Publication statusPublished - May 2024

Keywords

  • Austria
  • Humans
  • Percutaneous Coronary Intervention/standards
  • Patient Discharge/standards
  • Cardiology/standards
  • Coronary Artery Disease/therapy
  • Practice Guidelines as Topic
  • Length of Stay
  • Ambulatory Care/standards

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