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SCAI Releases Consensus Statement on Length of Stay Following Elective Percutaneous Coronary Intervention
Date:5/7/2009

Making Elective PCI an Outpatient Procedure to Save Costs Could Put Some Patients at Risk; New Document Guides Physicians in Making Length-of-Stay Decisions

LAS VEGAS, May 7 /PRNewswire/ -- Changes in reimbursement have put pressure on health care facilities to shift more elective percutaneous coronary interventions (PCIs) to "same-day" outpatient procedures. This marked shift could place patients at risk if they are sent home prematurely, and has left physicians without clear guidance as to when such early discharge is appropriate. To help guide physicians in making these decisions, the Society for Cardiovascular Angiography and Interventions (SCAI) has published an expert consensus statement outlining the variables physicians should consider when deciding how long patients should stay in the hospital following an uncomplicated elective PCI. The document, titled "Defining the Length of Stay Following Percutaneous Coronary Intervention," was published online today in Catheterization and Cardiovascular Interventions (CCI; e-publication ahead of print, June 2009, vol. 73, issue 7) and has been endorsed by the American College of Cardiology Foundation.

Elective PCI refers to patients who have stable symptoms but abnormalities in testing that indicate the need for further evaluation by coronary angiography. Depending on the results of the angiogram, some will go on to have a PCI procedure. While short length of stay following an uncomplicated PCI is a key benefit of the procedure, the current standard in the United States is for the patient to remain overnight in a health care facility.

"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
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SOURCE Society for Cardiovascular Angiography and Interventions
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