[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 71
Citations 0
January 18, 2012

Same-Day Discharge After Percutaneous Coronary Intervention—Reply

JAMA. 2012;307(3):251-252. doi:10.1001/jama.2011.2017

In Reply: Dr Janus brings up several important issues regarding the practicalities of same-day discharge after PCI in the United States, such as fears over malpractice litigation and patient and family preferences. We agree that these are important issues to consider not only when attempting to explain patterns of care, but also when managing patients. Malpractice claims are often based on deviations from the standard of care, and we believe our study helps to define and defend the standard of care for low-risk patients undergoing PCI. While Janus laments the lack of real-world situations in studies such as ours, the CathPCI Registry is a contemporary registry of all patients undergoing PCI in clinical practice at the participating sites and thus does reflect real-world practice. What is missing from the data are patient preferences; however, we would argue that most patients who have social support would, if asked, prefer to recover at home rather than in the unfamiliar hospital setting.