Identification of uncomplicated patients with acute myocardial infarction undergoing percutaneous coronary intervention: Are these patients suitable for early discharge?

Kunihiro Kinjo, Hiroshi Sato, Yasuhiko Sakata, Daisaku Nakatani, Hiroya Mizuno, Masahiko Shimizu, Masami Nishino, Yasuhiko Matsu-ura, Yukihiro Koretsune, Shinsuke Nanto, Masayoshi Mishima, Masatsugu Hori

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4 Citations (Scopus)

Abstract

Background: The hospital stay after acute myocardial infarction (AMI) is still extremely long in Japan and does not correspond with disease severity. The purpose of the present study was to identify a subgroup of AMI patients suitable for early discharge. Methods and Results: A total of 3,739 AMI patients treated with percutaneous coronary intervention (PCI) within 24 h after onset, who enrolled Osaka Acute Coronary Insufficiency Study between April 1998 and March 2004, were studied. Patients showing no complications within the first 7 days (n=1,786) were considered to be eligible for early discharge. In these patients, multivariate logistic regression analysis selected prior myocardial infarction, left anterior descending coronary artery disease and failed PCI as independent predictors of major complications from day 8 to discharge. Patients without any predictor had significant lower rates of major complications from day 8 to 6 months after discharge than those with 1 or more predictors. Furthermore, in the present study there were no deaths in patients without any predictors. Conclusion: Patients who either do not have serious complications during the first 7 days or any predictor are at very low risk of major complications from day 8 to 6 months after discharge. These carefully selected patients may be suitable for early (day 8) hospital discharge after AMI.

Original languageEnglish
Pages (from-to)1163-1169
Number of pages7
JournalCirculation Journal
Volume69
Issue number10
DOIs
Publication statusPublished - 2005 Sep 25

Keywords

  • Acute myocardial infarction
  • Hospital stay
  • Japanese
  • Percutaneous coronary intervention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Kinjo, K., Sato, H., Sakata, Y., Nakatani, D., Mizuno, H., Shimizu, M., Nishino, M., Matsu-ura, Y., Koretsune, Y., Nanto, S., Mishima, M., & Hori, M. (2005). Identification of uncomplicated patients with acute myocardial infarction undergoing percutaneous coronary intervention: Are these patients suitable for early discharge? Circulation Journal, 69(10), 1163-1169. https://doi.org/10.1253/circj.69.1163