Length of stay following percutaneous coronary intervention: An expert consensus document update from the society for cardiovascular angiography and interventions

Catheter Cardiovasc Interv. 2018 Oct 1;92(4):717-731. doi: 10.1002/ccd.27637. Epub 2018 Apr 24.


Since the publication of the 2009 SCAI Expert Consensus Document on Length of Stay Following percutaneous coronary intervention (PCI), advances in vascular access techniques, stent technology, and antiplatelet pharmacology have facilitated changes in discharge patterns following PCI. Additional clinical studies have demonstrated the safety of early and same day discharge in selected patients with uncomplicated PCI, while reimbursement policies have discouraged unnecessary hospitalization. This consensus update: (1) clarifies clinical and reimbursement definitions of discharge strategies, (2) reviews the technological advances and literature supporting reduced hospitalization duration and risk assessment, and (3) describes changes to the consensus recommendations on length of stay following PCI (Supporting Information Table S1). These recommendations are intended to support reasonable clinical decision making regarding postprocedure length of stay for a broad spectrum of patients undergoing PCI, rather than prescribing a specific period of observation for individual patients.

Keywords: outpatient; percutaneous coronary intervention; quality improvement; same-day discharge.

Publication types

  • Practice Guideline
  • Review

MeSH terms

  • Cardiology / standards*
  • Clinical Decision-Making
  • Consensus
  • Fee-for-Service Plans
  • Hospital Costs
  • Humans
  • Length of Stay* / economics
  • Patient Discharge / economics
  • Patient Discharge / standards*
  • Percutaneous Coronary Intervention / adverse effects
  • Percutaneous Coronary Intervention / economics
  • Percutaneous Coronary Intervention / standards*
  • Risk Assessment
  • Risk Factors
  • Time Factors
  • Treatment Outcome