Same-day discharge after elective percutaneous coronary intervention was noninferior for safety to staying overnight in hospital: COMMENTARY

Hlatky, Mark; Giacomini, John
September 2007
ACP Journal Club;Sept/Oct2007, Vol. 147 Issue 2, p35
Academic Journal
The article reports whether same-day discharge after elective Percutaneous Coronary Intervention (PCI) is noninferior for safety as compared to staying overnight in hospital. A randomized trial was designed to test whether four-hour observation after PCI was noninferior. It discusses ceratin biases such as design being in favor of the early-discharge group. It shows that several factors including the bias in the trial design and small sample size present the need for a larger and better study.


Related Articles

  • New Methodology for Analyzing Fluctuating Unit Activity. Jacobson, Ann K.; Seltzer, Joyce E.; Darn, Eric J. // Nursing Economic$;Jan/Feb99, Vol. 17 Issue 1, p55 

    Presents a method for examining patient turnover in hospitals. Changes in admission and discharge practices; Frequency of turnover of inpatients with shorter lengths of stay; Determination of average daily census and percent of unit occupancy; Development of model illustrating difference...

  • Predictors of duration of admission following an act of deliberate self-harm, a cross section study from Oman. Al Salmi, Muna; Al-Difai, Zakiya; Al Sinawi, Hamed; al Fahdi, Amal // Middle East Journal of Psychiatry & Alzheimers;Nov2016, Vol. 7 Issue 2, p3 

    Objective: This study aims to determine the predictors of the length of inpatient hospital admission following deliberate self-harm (DSH). Method: This is a retrospective study; medical notes for all patients admitted from Jan 20012 to Jan 2014 with DSH were reviewed for sociodemographic...

  • DISEASE PATTERNS; Admitted Patients In Medical Ward of Independent University Hospital, Marzipura, Faisalabad. Ashraf, Muhammad; Zakria, Muhammad // Professional Medical Journal;2014, Vol. 21 Issue 3, p570 

    Communicable and gastrointestinal diseases followed by respiratory diseases are the main reasons of admission in medical ward of developing countries. This is different from the developed countries where non communicable diseases are the main reasons of hospital admission. In developing...

  • LENGTH OF STAY OF PATIENTS IN A TERTIARY CARE HOSPITAL. Usman, Muhammad; Jamal, Shiraz; Tabassum, Shazia; Zafran, Muhammad // Gomal Journal of Medical Sciences;Jan2011, Vol. 9 Issue 1, p55 

    Background: Hospitals are overburdened by the number of patients both outdoor and indoor. This study was conducted to determine the length of stay of patients in medical units of a tertiary care hospital in our set up. Material & Methods: This descriptive study was conducted in the Department of...

  • Changing patterns of hospital admission for asthma, 1981-97. Morrison, D. S.; McLoone, P. // Thorax;Sep2001, Vol. 56 Issue 9, p687 

    Background-Hospital admission rates for asthma have stopped rising in several countries. The aim of this study was to use linked hospital admission data to explore recent trends in asthma admissions in Scotland. Methods-Linked Scottish Morbidity Records (SMR1) for asthma (ICD-9 493 and ICD-b...

  • Public hospital admissions rise.  // Australian Nursing Journal;Aug2003, Vol. 11 Issue 2, p13 

    Provides an overview of the "Australian Hospital Statistics 2001-02,' released by the Australian Institute of Health and Welfare on June 30, 2003. Increase in public hospital admissions; Average length of hospital stay; Median waiting time for elective surgery in public hospitals.

  • Length of Maternal Hospital Stay for Uncomplicated Deliveries, 1988–1995: The Impact of Maternal and Hospital Characteristics. Danel, Isabella; Johnson, Christopher; Berg, Cynthia; Flowers, Lisa; Atrash, Hani // Maternal & Child Health Journal;Dec1997, Vol. 1 Issue 4, p237 

    Objectives : To determine the independent association of selected maternal and hospital characteristics with length of maternal hospital stay for uncomplicated vaginal deliveries. Method : Linear regression analysis using National Hospital Discharge Survey data from 1988 to 1995. Independent...

  • Length of Stay and Hospital Readmission for Persons with Disabilities. Ottenbacher, Kenneth J.; Smith, Pam M.; Illig, Sandra B.; Fiedler, Roger C.; Granger, Carl V. // American Journal of Public Health;Dec2000, Vol. 90 Issue 12, p1920 

    Objectives. Length of stay (LOS) and hospital readmission for persons receiving medical rehabilitation were examined. Methods. A total of 96473 patient records (1994-1998) were analyzed. Mean age of patients was 68.97 years; 61% were female and 83% were nonHispanic White. Results. A decrease in...

  • Post-op dictates from insurers. H.D.B. // Cortlandt Forum;6/25/96, Vol. 9 Issue 6, p97 

    Presents an answer to the query regarding the hospital length of stay and discharge of a patient who underwent carotid endarterectomy upon the request of the insurance company. Absence of a minimum number of days for the insurance of patient's safety; Major risks of postoperative events; Three...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics