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Comment & Response
December 2016

Same-Day Discharge After Percutaneous Coronary InterventionAdditional Data on High-Risk Patients With Acute Coronary Syndrome

Author Affiliations
  • 1Cardiology Department, Belfast City Hospital, Belfast Health and Social Care Trust, Belfast, Northern Ireland
JAMA Cardiol. 2016;1(9):1079-1080. doi:10.1001/jamacardio.2016.3237

To the Editor We read with interest the review by Shroff et al1 on same-day discharge after percutaneous coronary intervention (PCI) in the May issue of JAMA Cardiology. In this review, the authors conducted a literature search of PubMed for studies on same-day discharge after PCI published in English from January 1995 to July 2015.

We would like to draw the authors’ attention to an observational audit we published in 2013 of more than 1000 patients who were discharged the same day after PCI,2 which was not included in their review. In our cohort, a third of patients had acute coronary syndrome, and of the lesions treated, 41% were designated as high risk per American Heart Association/American College of Cardiology classification. In this cohort of mixed, real-world patients, the major adverse cardiac events rate at 30 days was 0.85%, with a subacute thrombosis rate of 0.4%. This kept with recent outcome data from the large Swedish Coronary Angiography and Angioplasty registry.3 Our observation period after PCI was 6 hours. We had a single major adverse cardiac events event within the 6-hour observation period and no events between 6 and 24 hours (when the patients would ordinarily have been monitored in hospital).

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