Matches in SemOpenAlex for { <https://semopenalex.org/work/W2893959101> ?p ?o ?g. }
- W2893959101 endingPage "1041" @default.
- W2893959101 startingPage "1041" @default.
- W2893959101 abstract "<h3>Importance</h3> Same-day discharge (SDD) after elective percutaneous coronary intervention (PCI) is associated with lower costs and preferred by patients. However, to our knowledge, contemporary patterns of SDD after elective PCI with respect to the incidence, hospital variation, trends, costs, and safety outcomes in the United States are unknown. <h3>Objective</h3> To examine (1) the incidence and trends in SDD; (2) hospital variation in SDD; (3) the association between SDD and readmissions for bleeding, acute kidney injury (AKI), acute myocardial infarction (AMI), or mortality at 30, 90, and 365 days after PCI; and (4) hospital costs of SDD and its drivers. <h3>Design, Setting, and Participants</h3> This observational cross-sectional cohort study included 672 470 patients enrolled in the nationally representative Premier Healthcare Database who underwent elective PCI from 493 hospitals between January 2006 and December 2015 with 1-year follow-up. <h3>Exposures</h3> Same-day discharge, defined by identical dates of admission, PCI procedure, and discharge. <h3>Main Outcomes and Measures</h3> Death, bleeding requiring a blood transfusion, AKI and AMI at 30, 90, or 365 days after PCI, and costs from hospitals’ perspective, inflated to 2016. <h3>Results</h3> Among 672 470 elective PCIs, 221 997 patients (33.0%) were women, 30 711 (4.6%) were Hispanic, 51 961 (7.7%) were African American, and 491 823 (73.1%) were white. The adjusted rate of SDD was 3.5% (95% CI, 3.0%-4.0%), which increased from 0.4% in 2006 to 6.3% in 2015. We observed substantial hospital variation for SDD from 0% to 83% (median incidence rate ratio, 3.82; 95% CI, 3.48-4.23), implying an average (median) 382% likelihood of SDD at one vs another hospital. Among SDD (vs non-SDD) patients, there was no higher risk of death, bleeding, AKI, or AMI at 30, 90, or 365 days. Same-day discharge was associated with a large cost savings of $5128 per procedure (95% CI, $5006-$5248), driven by reduced supply and room and boarding costs. A shift from existing SDD practices to match top-decile SDD hospitals could annually save $129 million in this sample and $577 million if adopted throughout the United States. However, residual confounding may be present, limiting the precision of the cost estimates. <h3>Conclusions and Relevance</h3> Over 2006 to 2015, SDD after elective PCI was infrequent, with substantial hospital variation. Given the safety and large savings of more than $5000 per PCI associated with SDD, greater and more consistent use of SDD could markedly increase the overall value of PCI care." @default.
- W2893959101 created "2018-10-05" @default.
- W2893959101 creator A5005617399 @default.
- W2893959101 creator A5011361567 @default.
- W2893959101 creator A5012396172 @default.
- W2893959101 creator A5015021993 @default.
- W2893959101 creator A5017601946 @default.
- W2893959101 creator A5018963320 @default.
- W2893959101 creator A5022656025 @default.
- W2893959101 creator A5024027878 @default.
- W2893959101 creator A5034015154 @default.
- W2893959101 creator A5034310834 @default.
- W2893959101 creator A5036158005 @default.
- W2893959101 creator A5054187061 @default.
- W2893959101 creator A5057514332 @default.
- W2893959101 creator A5060743527 @default.
- W2893959101 creator A5073645809 @default.
- W2893959101 creator A5074249363 @default.
- W2893959101 creator A5083358653 @default.
- W2893959101 date "2018-11-01" @default.
- W2893959101 modified "2023-10-10" @default.
- W2893959101 title "Association of Same-Day Discharge After Elective Percutaneous Coronary Intervention in the United States With Costs and Outcomes" @default.
- W2893959101 cites W1597029249 @default.
- W2893959101 cites W1975081144 @default.
- W2893959101 cites W2029290825 @default.
- W2893959101 cites W2076976527 @default.
- W2893959101 cites W2111477458 @default.
- W2893959101 cites W2131981140 @default.
- W2893959101 cites W2158483692 @default.
- W2893959101 cites W2196906371 @default.
- W2893959101 cites W2318195185 @default.
- W2893959101 cites W2568834789 @default.
- W2893959101 cites W2591455118 @default.
- W2893959101 cites W2597503617 @default.
- W2893959101 cites W2621275651 @default.
- W2893959101 cites W2744942966 @default.
- W2893959101 cites W2793548233 @default.
- W2893959101 cites W4248790418 @default.
- W2893959101 doi "https://doi.org/10.1001/jamacardio.2018.3029" @default.
- W2893959101 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6583057" @default.
- W2893959101 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30267035" @default.
- W2893959101 hasPublicationYear "2018" @default.
- W2893959101 type Work @default.
- W2893959101 sameAs 2893959101 @default.
- W2893959101 citedByCount "58" @default.
- W2893959101 countsByYear W28939591012019 @default.
- W2893959101 countsByYear W28939591012020 @default.
- W2893959101 countsByYear W28939591012021 @default.
- W2893959101 countsByYear W28939591012022 @default.
- W2893959101 countsByYear W28939591012023 @default.
- W2893959101 crossrefType "journal-article" @default.
- W2893959101 hasAuthorship W2893959101A5005617399 @default.
- W2893959101 hasAuthorship W2893959101A5011361567 @default.
- W2893959101 hasAuthorship W2893959101A5012396172 @default.
- W2893959101 hasAuthorship W2893959101A5015021993 @default.
- W2893959101 hasAuthorship W2893959101A5017601946 @default.
- W2893959101 hasAuthorship W2893959101A5018963320 @default.
- W2893959101 hasAuthorship W2893959101A5022656025 @default.
- W2893959101 hasAuthorship W2893959101A5024027878 @default.
- W2893959101 hasAuthorship W2893959101A5034015154 @default.
- W2893959101 hasAuthorship W2893959101A5034310834 @default.
- W2893959101 hasAuthorship W2893959101A5036158005 @default.
- W2893959101 hasAuthorship W2893959101A5054187061 @default.
- W2893959101 hasAuthorship W2893959101A5057514332 @default.
- W2893959101 hasAuthorship W2893959101A5060743527 @default.
- W2893959101 hasAuthorship W2893959101A5073645809 @default.
- W2893959101 hasAuthorship W2893959101A5074249363 @default.
- W2893959101 hasAuthorship W2893959101A5083358653 @default.
- W2893959101 hasBestOaLocation W28939591011 @default.
- W2893959101 hasConcept C120665830 @default.
- W2893959101 hasConcept C121332964 @default.
- W2893959101 hasConcept C126322002 @default.
- W2893959101 hasConcept C194828623 @default.
- W2893959101 hasConcept C23131810 @default.
- W2893959101 hasConcept C2777698277 @default.
- W2893959101 hasConcept C2780400711 @default.
- W2893959101 hasConcept C45393284 @default.
- W2893959101 hasConcept C500558357 @default.
- W2893959101 hasConcept C61511704 @default.
- W2893959101 hasConcept C71924100 @default.
- W2893959101 hasConcept C72563966 @default.
- W2893959101 hasConceptScore W2893959101C120665830 @default.
- W2893959101 hasConceptScore W2893959101C121332964 @default.
- W2893959101 hasConceptScore W2893959101C126322002 @default.
- W2893959101 hasConceptScore W2893959101C194828623 @default.
- W2893959101 hasConceptScore W2893959101C23131810 @default.
- W2893959101 hasConceptScore W2893959101C2777698277 @default.
- W2893959101 hasConceptScore W2893959101C2780400711 @default.
- W2893959101 hasConceptScore W2893959101C45393284 @default.
- W2893959101 hasConceptScore W2893959101C500558357 @default.
- W2893959101 hasConceptScore W2893959101C61511704 @default.
- W2893959101 hasConceptScore W2893959101C71924100 @default.
- W2893959101 hasConceptScore W2893959101C72563966 @default.
- W2893959101 hasIssue "11" @default.
- W2893959101 hasLocation W28939591011 @default.
- W2893959101 hasLocation W28939591012 @default.
- W2893959101 hasLocation W28939591013 @default.
- W2893959101 hasLocation W28939591014 @default.