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Letters
January 18, 2012

Same-Day Discharge After Percutaneous Coronary Intervention

Author Affiliations
 

Letters Section Editor: Jody W. Zylke, MD, Senior Editor.

Author Affiliation: Iowa Health Physicians, Des Moines (tjanus@pol.net).

JAMA. 2012;307(3):251-252. doi:10.1001/jama.2011.2015

To the Editor: Dr Rao and colleagues1 found that in patients enrolled in Medicare and at low risk for undergoing elective percutaneous coronary intervention (PCI), same day discharge was rarely implemented but was not associated with increased risk of death or readmission compared with overnight observation. They concluded that “ . . . overnight observation is driven less by patient risk and more by either local practice patterns or other nonclinical reasons.” Unfortunately, the authors offered no practice pattern explanations and only one nonclinical reason, reimbursement, which they dismissed.

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