经皮冠状动脉手术后当天出院--奥地利心脏病学会介入心脏病学工作组(AGIK)共识声明。

IF 1.9 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Wiener Klinische Wochenschrift Pub Date : 2024-05-01 Epub Date: 2024-05-14 DOI:10.1007/s00508-024-02348-y
Mathias C Brandt, Hannes Alber, Rudolf Berger, Ronald K Binder, Julia Mascherbauer, Alexander Niessner, Martin Schmid, Matthias Frick
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引用次数: 0

摘要

介绍:经皮冠状动脉介入治疗是冠状动脉疾病患者行之有效的血管重建策略。最近的技术进步,如径向入路、第三代药物洗脱支架和高效的抗血小板疗法,大大提高了冠状动脉手术的安全性。尽管制定了多项实践指南,而且患者也明确倾向于尽早出院,但在奥地利,在门诊环境下进行冠状动脉手术的比例仍然很低,这主要是出于安全考虑:本共识声明旨在为在奥地利安全有效地实施冠心病门诊提供一个实用框架。在对现有实践指南进行结构化文献回顾和深入分析的基础上,奥地利心脏病学会介入心脏病学工作组(AGIK)制定了一份共识声明并进行了同行评审:根据现有文献,当天出院的冠状动脉手术具有良好的安全性,与住院一晚相比,发生重大不良事件的风险不会增加。本文件提供了各种临床环境下的详细共识。然而,当日出院最重要的前提是充分选择合适的患者,并制定有序的介入治疗前和介入治疗后管理计划:基于数据分析,这份共识文件为奥地利日间护理阴道实验室项目的安全运行提供了详细的实践指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Same-day discharge after percutaneous coronary procedures-Consensus statement of the working group of interventional cardiology (AGIK) of the Austrian Society of Cardiology.

Same-day discharge after percutaneous coronary procedures-Consensus statement of the working group of interventional cardiology (AGIK) of the Austrian Society of Cardiology.

Introduction: Percutaneous coronary intervention is a well-established revascularization strategy for patients with coronary artery disease. Recent technical advances such as radial access, third generation drug-eluting stents and highly effective antiplatelet therapy have substantially improved the safety profile of coronary procedures. Despite several practice guidelines and a clear patient preference of early hospital discharge, the percentage of coronary procedures performed in an outpatient setting in Austria remains low, mostly due to safety concerns.

Methods: The aim of this consensus statement is to provide a practical framework for the safe and effective implementation of coronary outpatient clinics in Austria. Based on a structured literature review and an in-depth analysis of available practice guidelines a consensus statement was developed and peer-reviewed within the working group of interventional cardiology (AGIK) of the Austrian Society of Cardiology.

Results: Based on the available literature same-day discharge coronary procedures show a favorable safety profile with no increase in the risk of major adverse events compared to an overnight stay. This document provides a detailed consensus in various clinical settings. The most important prerequisite for same-day discharge is, however, adequate selection of suitable patients and a structured peri-interventional and postinterventional management plan.

Conclusion: Based on the data analysis this consensus document provides detailed practice guidelines for the safe operation of daycare cathlab programs in Austria.

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来源期刊
Wiener Klinische Wochenschrift
Wiener Klinische Wochenschrift 医学-医学:内科
CiteScore
4.70
自引率
3.80%
发文量
110
审稿时长
4-8 weeks
期刊介绍: The Wiener klinische Wochenschrift - The Central European Journal of Medicine - is an international scientific medical journal covering the entire spectrum of clinical medicine and related areas such as ethics in medicine, public health and the history of medicine. In addition to original articles, the Journal features editorials and leading articles on newly emerging topics, review articles, case reports and a broad range of special articles. Experimental material will be considered for publication if it is directly relevant to clinical medicine. The number of international contributions has been steadily increasing. Consequently, the international reputation of the journal has grown in the past several years. Founded in 1888, the Wiener klinische Wochenschrift - The Central European Journal of Medicine - is certainly one of the most prestigious medical journals in the world and takes pride in having been the first publisher of landmarks in medicine.
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