Phenotype of Same-Day–Discharge Patients After Percutaneous Coronary Intervention

Background: Overnight observation is the standard of care for uncomplicated elective percutaneous coronary intervention (PCI). However, same-day discharge (SDD) is reportedly safe using predetermined criteria and patient risk categories. Characteristics of patients with SDD have not yet been described. Objective: The purpose of this study was to describe the phenotype of patients appropriate for SDD after PCI without predetermined criteria and patient risk categories. Methods: Analysis of PCI registry data was conducted on patients (n = 2174) who underwent elective and nonelective PCI between January 2012 and June 2014. Preliminary analysis included descriptive statistics, t tests, and χ2 tests. All variables were analyzed using random forest plot to determine importance of predictors of SDD followed by confirmatory logistic regression. Results: Random forest plot indicated 6 predictors of SDD. Confirmatory logistic regression using a model with all 6 predictors indicated that the model was able to distinguish between patients with SDD and overnight observation after PCI and was statistically significant (χ2(7.12, N = 2174) = 511.12, P
Source: Journal of Cardiovascular Nursing - Category: Nursing Tags: ARTICLES: Acute Care Source Type: research