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

the same day," said Carl Tommaso, MD, FSCAI, associate professor of medicine at Rush University Medical School, and director of the cardiac catheterization laboratory at Skokie Hospital, North Shore University Health Systems in Chicago, and a senior author of the consensus statement. "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."

According to the consensus paper, some patients may safely go home the same day as their PCI, but other patients should be placed in one of three settings determined by the treating physician:

  • Observation: Patients in this category require a longer period of observation but less than 24 hours, such as an overnight stay to monitor for potential complications or lab tests. Observation is also appropriate for patients who do not have adequate at-home care or access to emergency medical services.
  • Extended Observation: These patients require more than 24 hours of observation and care, usually as a result of accompanying non-cardiac conditions, but not a prolonged hospital admission.
  • In-Patient Admission: Patients who should be admitted include those who experienced complications during PCI, those who require further revascularization and those with significant co-morbidities.

The consensus paper provides a decision matrix to guide physicians in determining the appropriate length of stay following PCI.

"Each patient situation is unique and we have to consider all the variables when determining follow-up care, including whether a patient has someone at home to help him or her," said Gregory J. Dehmer, MD, FSCAI, professor of medicine at Texas A&M University'/>"/>

SOURCE Society for Cardiovascular Angiography and Interventions
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