Early Discharge in Low-Risk Patients Hospitalized for Acute Coronary Syndromes: Feasibility, Safety and Reasons for Prolonged Length of Stay

• DOI: 10.1371/journal.pone.0161493
• Publication Date: 2016-08-23T13:34:06Z
• Authors: Marie-Eva Laurencet; François Girardin; Fabio Rigamonti; Anne Bevand; Philippe Meyer; David Carballo; Marco Roffi; Stéphane Noble; François Mach; Baris Gencer
• Keywords: Hospital discharge

Length of hospital stay (LHS) is an indicator clinical effectiveness. Early discharge (≤72 hours) recommended in patients with acute coronary syndromes (ACS) at low risk complications, but reasons for prolonged LHS poorly reported.We collected data ACS hospitalized the Geneva University Hospitals from 1st July 2013 to 30th June 2015 and used Zwolle index score identify (≤ 3 points). We assessed proportion eligible who were successfully discharged within 72 hours LHS. Outcomes defined as adherence therapies, major adverse events 30 days patients' satisfaction using a Likert-scale patient-reported questionnaire.Among 370 ACS, 255 (68.9%) low-risk complications only 128 (50.2%)were early discharge, because other (e.g. staged revascularization, cardiac monitoring) 127 (49.8%). Of latter, 45 (35.2%) benefitted discharge. Reasons delay remaining 83 (51.2%) mainly due delays additional investigations, titration medical therapy, admission or during weekends. In group, days, one patient (2.2%) had event (minor bleeding), 97% satisfied by care.Early was achieved third appeared sufficiently safe while being overall appreciated patients.