Feasibility and Safety of Same Day Discharge After Elective Percutaneous Coronary Intervention (PCI) in a Tertiary Care Hospital in Karachi, Pakistan.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 210
- 试验地点
- 1
- 主要终点
- Number of patients who require a 2nd angioplasty
研究概览
简要总结
Study intends to determine if there is any difference in the occurrence of major adverse cardiology events in patients discharged on the same day as their elective cardiac angioplasty or discharged one day after their angioplasty.
Hypothesize that same day discharge is as safe as a day later discharge.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Low risk lesion (according to the ACC classification)
- •Normal Pre Catheterization laboratory investigation
- •Procedure performed before 3 pm
- •procedure performed with ≤ 6 French guiding Catheter
- •living at a distance of within 15 kilometers from hospital
- •caregiver present at home
- •elective procedure
排除标准
- •Acute PCI
- •high risk lesions (according to the ACC classification)
- •deranged Pre Catheterization laboratory investigations
- •Severe LV dysfunction, CVA
- •procedure to be performed with a guiding catheter >6F
- •Use of IIb/IIIa inhibitor
- •Creatinine clearance of < 50
研究组 & 干预措施
Next day discharge
this group will be discharged as is the standard practice at our facility; i.e. the day after the PCI procedure
Same Day Discharge
Patients in this arm will be discharged on the same day as their angioplasty.
干预措施: Same Day Discharge (Other)
结局指标
主要结局
Number of patients who require a 2nd angioplasty
时间窗: within 30 days of 1st angioplasty
Number of patients with bleed from the angioplasty site
时间窗: within 30 days post angioplasty
Mortality
时间窗: Within 30 days post angioplasty
次要结局
- number of hospital re-admissions(within 30 days of initial angioplasty)
研究者
Sajid H. Dhakam
Faculty, Cardiology
Indus Hospital and Health Network