Health Condition 1: I249- Acute ischemic heart disease, unspecified
Conditions
Interventions
Intervention1: Same Day Discharge after PCI: The patients undergoing same day discharge after PCI will be compared with those having next day discharge for safety and economic impact
Control Intervent
Sponsors
PGIMER
Eligibility
Inclusion criteria
Inclusion criteria: All patients of Ischemic heart disease who will be undergoing PCI during the study period (Jan 2019-mar 2020) will be assessed for Same day discharge
Exclusion criteria
Exclusion criteria: 1.Symptomatic decompensated heart failure 2.Glomerular filtration rate (GFR) 3.Chronic oral anticoagulation 4.Absence of caregiver at home, inability to understand the procedure, or home far from health resources ( >60min) 5.Clinical instability 6.Procedural complication like perforation; less than optimal flow on revascularization; Hemodynamically significant arrhythmia during procedure 7.Periprocedural complication like recurrent chest pain, local site complication 8.Patient or family refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1)Number of patients undergoing same day and & next day discharge following PCI during the study period 2)Rate of readmissions & complications occurring in each group up to 06 weeks post procedure. 3)The health system cost -- the cost per bed day hospitalization for CAD patients undergoing PCI in general ward and CCU. 4)The mean out of pocket incurred by patients undergoing PCI. 5)The total societal expenditure (health system cost plus out of pocket) Timepoint: 06 weeks post procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Proportion of patients eligible for SDD 2) Proportion of patients who actually had SDD Timepoint: 1 year 3 months | — |
Countries
India
Contacts
Public ContactProf Rajesh Vijayvergiya
PGIMER, CHANDIGARH
Outcome results
None listed