Same day discharge after PCI? American College of Cardiology Shares New Direction

A key part of the drafting group’s effort is the checklist that can help determine if SDD should be considered. If the patient has had STEMI or NSTEMI, for example, the checklist instructs providers to monitor this person overnight. If the patient does not have adequate support from caregivers (or if there is a caregiver, but cannot reach 911 if necessary), the checklist also indicates that night-time monitoring is required. .

Sometimes, of course, there just won’t be enough time in the day for SDD to be a valid option. If the procedure ends late in the day, not leaving enough time for four to six hours of post-PCI observation, the checklist also instructs providers to monitor the patient overnight.

There are technically three small checklists that make up the larger checklist: a pre-intervention list, a post-intervention list, and a pre-discharge list. They were designed to be used together when making SDD-related decisions.

“It is the conviction of the drafting group that the implementation of this checklist, and therefore probably the enlargement of the pool of patients who can be identified as candidates for a safe SDD, will lead to greater satisfaction and awareness of patients as well as increased savings within institutions, ”according to the document. “The implementation of this checklist also offers institutions the opportunity to perform quality assessments, as the data from the checklist can be used to inform the evolution of future checklists and protocols in SDD. for PCI ”.

Read the full document here.

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