Cargando…
Safety and Cost-Savings of Same-Day Discharge Trans-Radial Percutaneous Coronary Intervention in Trinidad and Tobago
Introduction: Same-day discharge percutaneous coronary interventions (SDD-PCI) may be quite impactful on healthcare burden for small island developing states (SIDS) such as Trinidad and Tobago. Methods: From June 2012 to November 2014, 11 patients underwent SDD trans-radial PCI and followed up at on...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473603/ https://www.ncbi.nlm.nih.gov/pubmed/32905543 http://dx.doi.org/10.7759/cureus.9568 |
_version_ | 1783579209135816704 |
---|---|
author | Ramsingh, Richard Maharaj, Dale Angelini, Gianni Rampersad, Risshi D |
author_facet | Ramsingh, Richard Maharaj, Dale Angelini, Gianni Rampersad, Risshi D |
author_sort | Ramsingh, Richard |
collection | PubMed |
description | Introduction: Same-day discharge percutaneous coronary interventions (SDD-PCI) may be quite impactful on healthcare burden for small island developing states (SIDS) such as Trinidad and Tobago. Methods: From June 2012 to November 2014, 11 patients underwent SDD trans-radial PCI and followed up at one-month and three months. Data was retrospectively reviewed from a prospectively entered unit-maintained cardiology database. Baseline patient characteristics, in-hospital expenditure, and complications were assessed. Descriptive statistical analysis was performed in Microsoft Excel. Results: The mean age at SDD-PCI was 50.90±9.96 and nine were male. Nine patients were of East Indian Caribbean ethnicity. Six were diabetic and five were hypertensive. Procedural success was 100% with no major early complication or three-months complications; patient satisfaction was achieved with a potential in-hospital savings up to $1480 USD per patient. Conclusion: This SDD approach for elective trans-radial PCI may be safe and cost-effective in properly selected patients and merits a review of relevant policy issues in Trinidad and Tobago. |
format | Online Article Text |
id | pubmed-7473603 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-74736032020-09-04 Safety and Cost-Savings of Same-Day Discharge Trans-Radial Percutaneous Coronary Intervention in Trinidad and Tobago Ramsingh, Richard Maharaj, Dale Angelini, Gianni Rampersad, Risshi D Cureus Cardiology Introduction: Same-day discharge percutaneous coronary interventions (SDD-PCI) may be quite impactful on healthcare burden for small island developing states (SIDS) such as Trinidad and Tobago. Methods: From June 2012 to November 2014, 11 patients underwent SDD trans-radial PCI and followed up at one-month and three months. Data was retrospectively reviewed from a prospectively entered unit-maintained cardiology database. Baseline patient characteristics, in-hospital expenditure, and complications were assessed. Descriptive statistical analysis was performed in Microsoft Excel. Results: The mean age at SDD-PCI was 50.90±9.96 and nine were male. Nine patients were of East Indian Caribbean ethnicity. Six were diabetic and five were hypertensive. Procedural success was 100% with no major early complication or three-months complications; patient satisfaction was achieved with a potential in-hospital savings up to $1480 USD per patient. Conclusion: This SDD approach for elective trans-radial PCI may be safe and cost-effective in properly selected patients and merits a review of relevant policy issues in Trinidad and Tobago. Cureus 2020-08-05 /pmc/articles/PMC7473603/ /pubmed/32905543 http://dx.doi.org/10.7759/cureus.9568 Text en Copyright © 2020, Ramsingh et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Ramsingh, Richard Maharaj, Dale Angelini, Gianni Rampersad, Risshi D Safety and Cost-Savings of Same-Day Discharge Trans-Radial Percutaneous Coronary Intervention in Trinidad and Tobago |
title | Safety and Cost-Savings of Same-Day Discharge Trans-Radial Percutaneous Coronary Intervention in Trinidad and Tobago |
title_full | Safety and Cost-Savings of Same-Day Discharge Trans-Radial Percutaneous Coronary Intervention in Trinidad and Tobago |
title_fullStr | Safety and Cost-Savings of Same-Day Discharge Trans-Radial Percutaneous Coronary Intervention in Trinidad and Tobago |
title_full_unstemmed | Safety and Cost-Savings of Same-Day Discharge Trans-Radial Percutaneous Coronary Intervention in Trinidad and Tobago |
title_short | Safety and Cost-Savings of Same-Day Discharge Trans-Radial Percutaneous Coronary Intervention in Trinidad and Tobago |
title_sort | safety and cost-savings of same-day discharge trans-radial percutaneous coronary intervention in trinidad and tobago |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473603/ https://www.ncbi.nlm.nih.gov/pubmed/32905543 http://dx.doi.org/10.7759/cureus.9568 |
work_keys_str_mv | AT ramsinghrichard safetyandcostsavingsofsamedaydischargetransradialpercutaneouscoronaryinterventionintrinidadandtobago AT maharajdale safetyandcostsavingsofsamedaydischargetransradialpercutaneouscoronaryinterventionintrinidadandtobago AT angelinigianni safetyandcostsavingsofsamedaydischargetransradialpercutaneouscoronaryinterventionintrinidadandtobago AT rampersadrisshid safetyandcostsavingsofsamedaydischargetransradialpercutaneouscoronaryinterventionintrinidadandtobago |