Same-day discharge after percutaneous coronary procedures—Structured review and comprehensive meta-analysis

• DOI: 10.1007/s00508-024-02347-z
• Publication Date: 2024-05-14T09:01:58Z
• Authors: Mathias C. Brandt; Hannes Alber; Rudolf Berger; Ronald K. Binder; Julia Mascherbauer; Alexander Niessner; Martin Schmid; Bernhard Wernly; Matthias Frick
• Keywords: Coronary Artery Disease; Patient Discharge; 03 medical and health sciences; Percutaneous Coronary Intervention; Postoperative Complications; Treatment Outcome; 0302 clinical medicine; Ambulatory Surgical Procedures; Risk Factors; Same day discharge after PCI - Review and Metaanalysis; Austria; Prevalence; Humans

Summary Introduction Percutaneous coronary intervention is a well-established revascularization strategy for patients with artery disease. The safety and feasibility of performing these procedures on same-day discharge basis selected has been studied in large number mostly nonrandomized trials. An up to date literature review should focus trials radial access, representing the current standard Austria other European countries. Methods aim this consensus statement most recent evidence patients. A structured search was performed using prespecified criteria, focusing access procedures. Results total 44 clinical 4 meta-analyses were retrieved, spanning 21 years from 2001 2022. outcome data wide range settings unanimous showing no negative effect early (24 h) or late (30 day) major adverse events after Based nine prospective comprehensive meta-analysis compiled. Using 1‑month pooled odds ratio versus overnight stay 0.66 (95% confidence interval, CI 0.35–01.24; p = 0.19; I 2 0%), indicating noninferiority carefully Conclusion Outcome confirm robust profile increase risk compared stay.