Coronary disease & ACSCohort study
Cost-Effectiveness of Early Discharge (<48 Hours) for Low-Risk Patients Following PPCI for STEMI
- Cohort study
Authors' conclusion
Selected low-risk patients can be discharged securely and safely following successful primary percutaneous coronary intervention using a pathway that is reinforced by a formal, multidisciplinary virtual follow-up program, enabling improvements in medication adherence and up-titration.
Study context
- Population
- Low-risk patients after primary PCI for STEMI, April 2020–March 2023
- Participants
- 1,500 vs 1,400
- Exposure
- Early discharge with virtual follow-up vs >48-hour discharge
- Early dischargen = 1,500
- >48-hour controln = 1,400reference
Main finding
As reported in the abstract
MACE · 12 months
P = 0.043
Observational data: associations, not effects.
Further findings
Length of hospital stay
- Median length of stay, early discharge pathway (min 17 h, max 40 h)
- 24.9 hours (Q1-Q3: 22.8-36.4 hours)
- Median length of stay, control
- 68.1 hours (Q1-Q3: 56-80 hours) (P < 0.0001)
- Stayed 1 fewer night in hospital vs normal pathways
- 73% (1,095 of 1,500)
Original publication
Cost-Effectiveness of Early Discharge (<48 Hours) for Low-Risk Patients Following PPCI for STEMI. JACC Cardiovasc Interv. Published 23 June 2025. doi:10.1016/j.jcin.2025.04.045
Summarised from the published abstract; every number is checked against it