Letters Section Editor: Jody W. Zylke, MD, Senior Editor.
Author Affiliation: Iowa Health Physicians, Des Moines (email@example.com).
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.
Janus TJ. Same-Day Discharge After Percutaneous Coronary Intervention. JAMA. 2012;307(3):251-252. doi:10.1001/jama.2011.2015