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Prevalence, trends, and outcomes of same-day discharge following elective percutaneous coronary intervention: a retrospective observational cohort study using routinely-collected health data
Journal article   Open access   Peer reviewed

Prevalence, trends, and outcomes of same-day discharge following elective percutaneous coronary intervention: a retrospective observational cohort study using routinely-collected health data

Yingyan Chen, Ian Smith, Chiung-Jung (Jo) Wu, Laetitia Hattingh, Laurie Howes, Rohan Jayasinghe, Rohan Poulter, Atifur Rahman, Gregory Starmer, Yash Singbal, …
European Journal of Cardiovascular Nursing, Vol.24(1), pp.104-113
2025
DOI: https://doi.org/10.1093/eurjcn/zvae125
PMID: 39318176
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Accepted Version This is a pre-copyedited, author-produced version of an article accepted for publication in European Journal of Cardiovascular Nursing following peer review. The version of record is available online at: https://doi.org/10.1093/eurjcn/zvae125 Open Access

Abstract

percutaneous coronary intervention same-day discharge hospital stay healthcare costs low-value care
Aims To identify the prevalence, trends, and outcomes of same-day discharge following elective percutaneous coronary intervention among six public hospitals in one Australian State. Methods and results A retrospective observational research design was used. A total of 4387 cases were obtained from the State Cardiac Outcomes Registry and National Hospital Cost Data Collection. The two datasets were linked using identifiable data items. Patients were those who had elective percutaneous coronary intervention between December 2012 and December 2019 either discharged the same day of the procedure or the next day. Data were analysed using descriptive and inferential statistics. The overall same-day discharge prevalence was 6.5%, with a trend increasing from 0.2% in 2013 to 9.0% in 2019. The prevalence varied at the individual hospital level. Two hospitals did not perform same-day discharge during the study period. The remaining hospitals demonstrated variability in same-day discharge prevalence, with the highest from one hospital being 28.2% in 2019. Almost all same-day discharge patients experienced no complications during or following percutaneous coronary intervention within 24 hours. Compared to next-day discharge, same-day discharge reduced the length of stay by 18 hours and conferred an average of $3695 cost-savings per patient. Conclusions There was limited implementation of same-day discharge in the six public hospitals contributing data to this study. Improvement in the same-day discharge rate could result in better hospital resource utilisation and reduce low-value care. Hence, strategies to implement and promote same-day discharge are warranted.

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