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A Novel Protocol for Very Early Hospital Discharge After STEMI
Although the incidence of ST-elevation myocardial infarction (STEMI) is on the decline, management of patients who present with STEMI continues to require significant health care resources. Earlier hospital discharge in low-risk patients who present with STEMI has been an area of focus in an attempt...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Canadian Cardiovascular Society. Published by Elsevier Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7443159/ https://www.ncbi.nlm.nih.gov/pubmed/32841675 http://dx.doi.org/10.1016/j.cjca.2020.08.012 |
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author | Marbach, Jeffrey A. Alhassani, Saad Chong, Aun-Yeong MacPhee, Erika Le May, Michel |
author_facet | Marbach, Jeffrey A. Alhassani, Saad Chong, Aun-Yeong MacPhee, Erika Le May, Michel |
author_sort | Marbach, Jeffrey A. |
collection | PubMed |
description | Although the incidence of ST-elevation myocardial infarction (STEMI) is on the decline, management of patients who present with STEMI continues to require significant health care resources. Earlier hospital discharge in low-risk patients who present with STEMI has been an area of focus in an attempt to reduce health care costs. As a result, discharge within 48-72 hours after successful primary percutaneous coronary intervention has increasingly become routine practice. Moreover, the current COVID-19 pandemic has led to enormous pressure on health care systems to find ways to increase bed capacity, preserve resources, and reduce the risk of exposure to patients and health care workers. In response to this goal, the Ottawa Heart Institute has developed and implemented a novel Very Early Hospital Discharge (VEHD) protocol. The VEHD protocol is a simple, 4-step algorithm designed to accurately and efficiently identify low-risk STEMI patients who can be safely discharged between 20 and 36 hours after successful primary percutaneous coronary intervention. When deemed eligible for VEHD predischarge tasks are completed by the treating medical and nursing team and the patient is discharged home. Follow-up is completed remotely via virtual care (48 hours, 7 days, 30 days), and in the outpatient cardiology clinic (4-6 weeks). Amid a worldwide COVID-19 pandemic we believe the VEHD protocol is a crucial step in maintaining exceptional quality of care, in terms of patient satisfaction and clinical outcomes, while concurrently decreasing the risk of nosocomial infections, and reducing resource utilization. |
format | Online Article Text |
id | pubmed-7443159 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Canadian Cardiovascular Society. Published by Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-74431592020-08-24 A Novel Protocol for Very Early Hospital Discharge After STEMI Marbach, Jeffrey A. Alhassani, Saad Chong, Aun-Yeong MacPhee, Erika Le May, Michel Can J Cardiol Training/Practice Although the incidence of ST-elevation myocardial infarction (STEMI) is on the decline, management of patients who present with STEMI continues to require significant health care resources. Earlier hospital discharge in low-risk patients who present with STEMI has been an area of focus in an attempt to reduce health care costs. As a result, discharge within 48-72 hours after successful primary percutaneous coronary intervention has increasingly become routine practice. Moreover, the current COVID-19 pandemic has led to enormous pressure on health care systems to find ways to increase bed capacity, preserve resources, and reduce the risk of exposure to patients and health care workers. In response to this goal, the Ottawa Heart Institute has developed and implemented a novel Very Early Hospital Discharge (VEHD) protocol. The VEHD protocol is a simple, 4-step algorithm designed to accurately and efficiently identify low-risk STEMI patients who can be safely discharged between 20 and 36 hours after successful primary percutaneous coronary intervention. When deemed eligible for VEHD predischarge tasks are completed by the treating medical and nursing team and the patient is discharged home. Follow-up is completed remotely via virtual care (48 hours, 7 days, 30 days), and in the outpatient cardiology clinic (4-6 weeks). Amid a worldwide COVID-19 pandemic we believe the VEHD protocol is a crucial step in maintaining exceptional quality of care, in terms of patient satisfaction and clinical outcomes, while concurrently decreasing the risk of nosocomial infections, and reducing resource utilization. Canadian Cardiovascular Society. Published by Elsevier Inc. 2020-11 2020-08-22 /pmc/articles/PMC7443159/ /pubmed/32841675 http://dx.doi.org/10.1016/j.cjca.2020.08.012 Text en © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Training/Practice Marbach, Jeffrey A. Alhassani, Saad Chong, Aun-Yeong MacPhee, Erika Le May, Michel A Novel Protocol for Very Early Hospital Discharge After STEMI |
title | A Novel Protocol for Very Early Hospital Discharge After STEMI |
title_full | A Novel Protocol for Very Early Hospital Discharge After STEMI |
title_fullStr | A Novel Protocol for Very Early Hospital Discharge After STEMI |
title_full_unstemmed | A Novel Protocol for Very Early Hospital Discharge After STEMI |
title_short | A Novel Protocol for Very Early Hospital Discharge After STEMI |
title_sort | novel protocol for very early hospital discharge after stemi |
topic | Training/Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7443159/ https://www.ncbi.nlm.nih.gov/pubmed/32841675 http://dx.doi.org/10.1016/j.cjca.2020.08.012 |
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