关键词: 经皮冠状动脉介入, 当日出院, Meta分析, 护理

Abstract:

Objective To systematically assess short-termed and long-termed clinical outcomes of same day discharge after percutaneous coronary intervention（PCI）. Methods The Cochrane Library, Wiley online library, PubMed and EMBASE et al databases were searched for randomized control trials comparing same day discharge and overnight stay in the hospital after PCI. RevMan 5. 2 was used as the statistical software. Results 10 randomized control trials with a total number of 3 908 patients （1 844 patients were discharged on the same day and 2064 patients stayed overnight in the hospital） were included. The results showed that, compared with overnight hospitalization, the discharge on the same day after PCI had no significant effect on 24-hour incidence of adverse cardiac events [RR=0. 28, 95%CI（0. 05, 1. 64）, Z=1. 42, P=0. 16] , 24-hour overall incidence of adverse cardiac events [RR=0. 67, 95%CI（0. 17, 2. 68）, Z=0. 57, P=0. 57] , 30-day incidence of adverse cardiac events [RR=0. 83, 95%CI（0. 43, 1. 58）, Z=0. 57, P=0. 57] , 30-day overall incidence of adverse events [RR=0. 94, 95%CI（0. 71, 1. 26）, Z=0. 40, P=0. 69] , 30-day readmission rate [RR=1. 12, 95%CI（0. 76, 1. 66）, Z=0. 57, P=0. 57] , one-year incidence of adverse cardiac events [RR=1. 03, 95%CI（0. 76, 1. 40）, Z=0. 19, P=0. 85] and one-year overall incidence of adverse events [RR=0. 98, 95%CI（0. 76, 1. 25）, Z=0. 19, P=0. 85] . The medical expenses were reduced and the patients’ satisfaction was improved, but the patients were not well prepared for discharge. Conclusions Discharge on the same day after PCI does not increase the occurrence of short-term and long-term adverse events. In the future, it can be carried out in the outpatient services for specific patient groups.

Key words: Percutaneous Coronary Intervention, Same Day Discharge, Meta-Analysis, Nursing Care