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; Raibhan Yadav; Andrea P Marshall

doi:10.1093/eurjcn/zvae125

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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

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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

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

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Accepted VersionThis 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 Embargoed Access, Embargo ends: 23-Sep-2025

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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Title: Prevalence, trends, and outcomes of same-day discharge following elective percutaneous coronary intervention: a retrospective observational cohort study using routinely-collected health data
Authors: Yingyan Chen (Author) - University of the Sunshine Coast, Queensland, School of Health - Nursing
Ian Smith (Author) - St Andrew's War Memorial Hospital (Australia, Brisbane)
Chiung-Jung (Jo) Wu (Author) - University of the Sunshine Coast, Queensland, School of Health - Nursing
Laetitia Hattingh (Author) - University of Queensland
Laurie Howes (Author) - Gold Coast Hospital
Rohan Jayasinghe (Author) - Gold Coast Hospital
Rohan Poulter (Author) - Sunshine Coast University Hospital
Atifur Rahman (Author) - Gold Coast Hospital
Gregory Starmer (Author) - Cairns Hospital
Yash Singbal (Author) - Princess Alexandra Hospital
Raibhan Yadav (Author) - Townsville Hospital
Andrea P Marshall (Corresponding Author) - Griffith University
Publication details: European Journal of Cardiovascular Nursing, Vol.24(1), pp.104-113
Publisher: Oxford University Press
Date published: 2025
DOI: 10.1093/eurjcn/zvae125
ISSN: 1873-1953
Organisation Unit: Healthy Ageing Research Cluster; School of Health - Nursing
Language: English
Record Identifier: 991065006702621
Output Type: Journal article

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