Navigation Links
Discharge Time After Angioplasty Varies
Date:5/7/2009

Experts offer guidelines to help determine which patients need more observation

THURSDAY, May 7 (HealthDay News) -- While some heart patients can safely go home after having elective angioplasty (also known as percutaneous coronary intervention, or PCI), others may have to stay in hospital for longer periods of time, says an expert consensus statement released Thursday.

The statement, published by the Society for Cardiovascular Angiography and Interventions (SCAI), notes that changes in reimbursement have put pressure on U.S. hospitals to make elective PCI a same-day outpatient procedure. But this could put patients at risk if they're sent home prematurely, and doctors don't have clear guidance regarding these patients, according to the SCAI.

Elective PCI is performed on patients who have stable heart symptoms but who have had testing abnormalities indicating the need for further evaluation.

"Because of continued breakthroughs in interventional cardiology, few patients today have to stay in the hospital for two or more days after angioplasty as they did in the past, but it's not always clear which patients should be kept overnight or admitted to the hospital, and which patients can safely return home the same day," statement senior author Dr. Carl Tommaso, an associate professor of medicine at Rush University Medical School, and director of the cardiac catheterization lab at Skokie Hospital, North Shore University Health Systems in Chicago, said in a SCAI news release.

"The goal of this document is to guide physicians making decisions for follow-up care after an elective PCI. Ultimately, the physician should make the decision based on the patient's specific condition and the criteria outlined in this paper," Tommaso said.

The consensus statement concludes that some patients can be discharged the day of their PCI. Others, however, should be observed or admitted, as determined by the treating physician, in one of the following three settings:

  • Observation. This is for patients who require a period of observation that does not exceed 24 hours, such as an overnight stay to monitor for potential complications or to conduct lab tests. This category is also appropriate for patients who lack adequate at-home care or access to emergency medical services.
  • Extended observation. Patients in this category require more than 24 hours of observation and care, often due to accompanying non-cardiac conditions.
  • In-patient admission. This category includes patients who experienced complications during PCI, those who require further revascularization, and those with significant accompanying health problems.

The consensus statement appears online and in the June print issue of the journal Catheterization and Cardiovascular Interventions.

More information

The U.S. National Heart, Lung, and Blood Institute has more about angioplasty.



-- Robert Preidt



SOURCE: Society for Cardiovascular Angiography and Interventions, news release, May 7, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Diabetes Discharge Planning is this the latest Topic in Focus at the Diabetes Best Practices Website
2. SynCardia Introduces New 12-lb Freedom Discharge Driver Designed to Provide Quality 'Lifestyle' for Total Artificial Heart Patients
3. Patients being discharged against medical advice
4. Patients Being Discharged Against Medical Advice
5. Researchers design re-engineered hospital discharge program to reduce rehospitalization
6. Discharge Plan Cuts Hospital Readmissions, Patient Costs
7. Sheffield Teaching Hospitals NHS Foundation Trust delivers same day patient discharge via BigHand Digital Dictation
8. Florida Physicians Press Sen. Martinez to Support Reform of Medicare Bidding Program after Hospital Discharge Problems Emerge
9. Raleigh in National Study, Shows Survival to Hospital Discharge After Cardiac Arrest Doubles With Improved CPR and Impedance Threshold Device
10. Cypress Creek in National Study, Shows Survival To Hospital Discharge After Cardiac Arrest Doubles with Improved CPR and Impedance Threshold Device
11. New study doubles survival to hospital discharge after cardiac arrest
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Discharge Time After Angioplasty Varies
(Date:5/24/2016)... (PRWEB) , ... May 24, 2016 , ... ... expansion of its services to provide one resource, from start to finish, for ... preparation, Life Safety Statement of Condition surveys requested by the Joint Commission, and ...
(Date:5/24/2016)... ... May 24, 2016 , ... ... services today announced a strategic partnership with Five9 (Nasdaq: FIVN), a leading ... one of Avaya’s largest Platinum Business Partners, is a leading provider of ...
(Date:5/24/2016)... ... May 24, 2016 , ... Mental health watchdog ... Church of Scientology and renowned professor of psychiatry Thomas Szasz, is continuing its protest ... An Industry of Death” exhibit in Atlanta, Georgia. The opening of the exhibit follows ...
(Date:5/24/2016)... ... ... Boyd Industries, a leading supplier of dental chairs and cabinetry , will ... dentistry , at AAPD 2016, the annual conference and trade show of the American ... keeps dental hand pieces and other anxiety-provoking pieces of the dental delivery system out ...
(Date:5/24/2016)... ... May 24, 2016 , ... The Radiosurgery ... practice of radiosurgery, is recognizing five medical residents and students for their outstanding ... radiotherapy (SBRT). The awards will be presented at the 2016 SRS/SBRT Scientific Meeting ...
Breaking Medicine News(10 mins):
(Date:5/24/2016)... 2016 Les ... la première endoprothèse à double thérapie au ... portant sur les membres inférieurs et la ... entreprise mondiale spécialisée dans la fourniture de ... a élargi son portefeuille pour inclure des ...
(Date:5/23/2016)... PUNE, India , May 23, 2016 ... is spread across 163 pages, profiles 12 companies and ... 280 tables and figures on the industry and its ... study that is comprehensive in nature, details the current ... of the industry including definitions, classifications, applications and industry ...
(Date:5/23/2016)... , May 23, 2016 The World Health ... PrePex device to include adolescents aged 13 years, and ... can be offered for adult and adolescent males in the ... . PrePex was the first male circumcision device to ... MedTech,s CEO, Eddy Horowitz said: " The ...
Breaking Medicine Technology: