Safety and cost analysis of early discharge following percutaneous coronary intervention for acute coronary syndrome in patients with diabetes mellitus

Autor: Lihui Kang, Junping Sun, Yun Gao, Nan Li, Yu-Long Gao, Wang Su, Shihong Li, Yutong Cheng, Xuanzu Chen, Ying Tao, Hong-Hong Liu, Jingmei Zhang, Chengqian Yin, Donghua Zhang, Ji Huang, Xian-Liang Yan, Tao Sun, Xiang-Yu Wu, Zhi-Zhong Li, Zhao Li, Qian Wang, Yun Lin, Xuejian Hou, Su Wang
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Acute coronary syndrome
medicine.medical_specialty
China
Medicine (General)
medicine.medical_treatment
030204 cardiovascular system & hematology
safety and cost
Biochemistry
acute coronary syndrome
03 medical and health sciences
0302 clinical medicine
Diabetes mellitus
R5-920
Internal medicine
medicine
Humans
In patient
030212 general & internal medicine
Prospective Studies
Early discharge
Retrospective Studies
business.industry
Incidence
Biochemistry (medical)
percutaneous coronary intervention
Percutaneous coronary intervention
Cell Biology
General Medicine
early discharge
Length of Stay
Middle Aged
medicine.disease
Pre-Clinical Research Reports
Prognosis
Patient Discharge
Survival Rate
Conventional PCI
Cardiology
Cost analysis
Female
Patient Safety
business
hospitalization
Follow-Up Studies
Zdroj: Journal of International Medical Research, Vol 47 (2019)
The Journal of International Medical Research
ISSN: 1473-2300
0300-0605
Popis: Objective To evaluate the safety and cost of early discharge compared with ordinary discharge in patients with diabetes mellitus (DM) following percutaneous coronary intervention (PCI) for acute coronary syndrome. Methods We performed a retrospective analysis of prospectively collected data from 474 patients with DM who were discharged from hospital following PCI at a regional center between 2012 and 2015. Results A total of 192 patients (40.5%) were included in the early discharge group and 282 patients (59.5%) were included in the ordinary group. Mortality and morbidity after PCI were recorded. Kaplan–Meier analysis showed similar prognosis between the two groups at 30 days and at 1 year after discharge. However, hospitalization expenses for the regular discharge group were significantly higher than those of the early discharge group (RMB65,750 vs. RMB50,983). Conclusion Our findings demonstrate that early discharge of patients with DM following PCI for acute coronary syndrome is safe compared with ordinary discharge, and may reduce hospitalization costs.
Databáze: OpenAIRE
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