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Li S, Li Z, Hou X, Sun J, Kang L, Cheng Y, Tao Y, Li Z, Chen X, Zhang D, Yan X, Wang S, Gao Y, Wang Q, Lin Y, Yin C, Zhang J, Gao Y, Huang J, Wu X, Li N, Su W, Liu H, Sun T. Safety and cost analysis of early discharge following percutaneous coronary intervention for acute coronary syndrome in patients with diabetes mellitus. J Int Med Res 2019; 47:3905-3917. [PMID: 31189388 PMCID: PMC6726824 DOI: 10.1177/0300060519842777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Objective To evaluate the safety and cost of early discharge compared with ordinary discharge in patients with diabetes mellitus (DM) following percutaneous coronary intervention (PCI) for acute coronary syndrome. Methods We performed a retrospective analysis of prospectively collected data from 474 patients with DM who were discharged from hospital following PCI at a regional center between 2012 and 2015. Results A total of 192 patients (40.5%) were included in the early discharge group and 282 patients (59.5%) were included in the ordinary group. Mortality and morbidity after PCI were recorded. Kaplan–Meier analysis showed similar prognosis between the two groups at 30 days and at 1 year after discharge. However, hospitalization expenses for the regular discharge group were significantly higher than those of the early discharge group (RMB65,750 vs. RMB50,983). Conclusion Our findings demonstrate that early discharge of patients with DM following PCI for acute coronary syndrome is safe compared with ordinary discharge, and may reduce hospitalization costs.
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Affiliation(s)
- Shihong Li
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Zhizhong Li
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Xuejian Hou
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Junping Sun
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Lihui Kang
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Yutong Cheng
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Ying Tao
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Zhao Li
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Xuanzu Chen
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Donghua Zhang
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Xianliang Yan
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Su Wang
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Yulong Gao
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Qian Wang
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Yun Lin
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Chengqian Yin
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Jingmei Zhang
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Yun Gao
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Ji Huang
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Xiangyu Wu
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Nan Li
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Wang Su
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Honghong Liu
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
| | - Tao Sun
- Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
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