Changing the model of care during the COVID-19 pandemic: Same-day discharge of patients undergoing elective invasive cardiac procedures in Hong Kong,Heart & Lung

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Changing the model of care during the COVID-19 pandemic: Same-day discharge of patients undergoing elective invasive cardiac procedures in Hong Kong
Heart & Lung ( IF 2.4 ) Pub Date : 2021-08-09 , DOI: 10.1016/j.hrtlng.2021.08.001
Cecilia Miu-Ching Chan ₁ , Michael Kang-Yin Lee ₁ , Alan Ka-Chun Chan ₁ , Man Ling Hui ₁ , Polly Wai Chi Li ₂

Affiliation

Background

Despite an evidence-based protocol to facilitate same-day discharge (SDD) of patients undergoing elective intracoronary procedures, overnight hospitalization remains a routine practice.

Objectives

This study aimed to determine the frequency of SDD after intracoronary procedures among patients treated before and during the COVID-19 pandemic, and identify factors predictive of a decision for SDD.

Methods

This retrospective cohort study (N = 680) was based on registry data of a cardiac ambulatory center.

Results

The frequency of SDD was significantly higher in 2020 relative to 2019 (p < 0.001). No complication were identified during the next-day follow-up among SDD cohort. Compared to those who stayed overnight, SDD patients had a lower 30-day readmission rate (p < 0.001), but not 30-day mortality (p = 1.000). Radial access, some procedural-related and comorbidities of patients significantly predicted SDD.