Feasibility, safety, and patient satisfaction of same-day discharge following peripheral arterial interventions: A randomized controlled study
To assess feasibility, safety, and patient satisfaction of same-day discharge (SD) following peripheral arterial interventions.
Although diagnostic angiography is routinely performed as a same-day procedure, same-day percutaneous trans-luminal angioplasty is less common. Because there is very low incidence of peri-procedural complications after 4 hr, discharge after this window is possible provided the patient is able to ambulate and has necessary social support. To-date, safety and patient satisfaction related to SD has not been studied systematically in this population.
After providing informed consent, patients undergoing out-patient peripheral arterial interventions in a single institution between 2011 and 2015 were randomized to usual care (overnight stay, OS) or SD following successful interventions. Patient satisfaction, complications, and readmission status was ascertained by blinded telephone interviewers at 48-72 hr and 10 days post-procedure.
A total of 24 patients consented. Of these, 5 (21.7%) failed screening, leaving 19 patients for randomization to control (n = 10) and experimental group (n = 9) conditions. The SD group experienced zero complications, however their Likert scale rating scores were significantly lower than OS for perceived level of safety (P = 0.02) and likelihood of having the procedure again (P = 0.004).
This small, single-center randomized study found that among carefully selected peripheral arterial interventions, SD may be feasible and safe. However, patient satisfaction and perceived safety were significantly lower among SD compared to the OS condition. Larger prospective studies are warranted to confirm these findings.
Islam AM, Alreja G, Mallidi J, Ziaul Hoque M, Friderici J. Feasibility, safety, and patient satisfaction of same-day discharge following peripheral arterial interventions: A randomized controlled study. Catheter Cardiovasc Interv. 2018 Aug 1;92(2):358-363.