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ACC releases expert decision pathway on same-day discharge after PCI
![ACC releases expert decision pathway on same-day discharge after PCI ACC releases expert decision pathway on same-day discharge after PCI](https://medicaldialogues.in/h-upload/2020/02/19/750x450_124449-pci.webp)
USA: The American College of Cardiology (ACC) has released a new expert consensus decision pathway to provide practical guidance on same-day discharge (SDD) after percutaneous coronary intervention (PCI). The purpose of the guidance is to provide a framework (checklist) for considering patients for SDD after elective PCI.
The 2021 ACC Expert Consensus Decision Pathway on Same-Day Discharge After Percutaneous Coronary Intervention has been published in the Journal of the American College of Cardiology.
The following are key points to remember from the 2021 American College of Cardiology (ACC) Expert Consensus Decision Pathway:
- SDD has been shown to be preferred by patients and data support no difference in clinical outcomes between next-day and SDD.
- SDD after elective PCI allows for more efficient healthcare by optimizing patient flow and resource utilization.
- Studies have shown that SDD after elective PCI is associated with cost savings. In estimation, if 50% of elective PCI patients were discharged on the same day, this would yield a savings of $200 million to $500 million per year in the United States.
- SDD is defined as "a stay after a PCI procedure that does not include supervised overnight monitoring in the facility and/or hospital.
- Pre-procedure considerations include clinical factors, social factors, and staff/system factors. Physician input regarding the patient's clinical candidacy for SDD, in addition to adequate home support for the patient after SDD and the patient being scheduled at an appropriate time for the procedure to allow for SDD later in the day all should be considered prior to PCI.
- Post-PCI considerations include a thorough assessment of post-procedural complications, PCI success, absence of any mental status changes, and patient's willingness to be discharged home.
- Prior to discharge, confirming availability of P2Y12 inhibitors and adequate follow-up will be needed.
- Patients should be educated on monitoring the access site and be given clear instructions on an emergency number to call.
- Checklists provided in this document could be integrated into the electronic medical record and could be used to accurately measure safety and efficacy of SDD.
"2021 ACC Expert Consensus Decision Pathway on Same-Day Discharge After Percutaneous Coronary Intervention: A Report of the American College of Cardiology Solution Set Oversight Committee," is published in the Journal of the American College of Cardiology.
DOI: https://www.jacc.org/doi/10.1016/j.jacc.2020.11.013
MSc. Biotechnology
Medha Baranwal joined Medical Dialogues as an Editor in 2018 for Speciality Medical Dialogues. She covers several medical specialties including Cardiac Sciences, Dentistry, Diabetes and Endo, Diagnostics, ENT, Gastroenterology, Neurosciences, and Radiology. She has completed her Bachelors in Biomedical Sciences from DU and then pursued Masters in Biotechnology from Amity University. She has a working experience of 5 years in the field of medical research writing, scientific writing, content writing, and content management. She can be contacted at  editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: editorial@medicaldialogues.in. Contact no. 011-43720751