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Length of Hospital Stay After Percutaneous Coronary Interventions

Kaluski, Edo MD, FACC, FESC; Alfano, Diane RN; Randhawa, Preet MD, FACC; Palmaro, Jack MA, MPH; Jones, Pat RN; Romano, Karen RN; Dolny-Korasick, Deborah RN; Klapholz, Marc MD, FACC

The Journal of Cardiovascular Nursing: July-August 2008 - Volume 23 - Issue 4 - p 345-348
doi: 10.1097/01.JCN.0000317436.36963.2e
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Introduction and Aim: Post-percutaneous coronary intervention (PCI) length of hospital stay (LOHS) is one of the key modifiers of hospital cost and quality assessment. Commencing 2000, the cardiovascular services at our institution engaged in a continuous quality improvement program to reduce post-PCI LOHS.

Methods: All PCI patients were screened for potential early discharge. An expedited discharge protocol was applied to all suitable patients. Length of hospital stay and other outcomes were monitored daily. Data were compiled and reported monthly and quarterly by an independent chart review and data analysis team.

Results: Over the study period, PCI volume increased 4-fold. Annually, 61.8% to 78.4% of the patients were rendered suitable for abbreviated LOHS. Timely discharge of suitable candidates gradually improved from 77.6% (n = 116) discharged within 48 hours in 2000 to 95% (n = 480) discharged within 30 hours in 2006.

Conclusion: With the appropriate continuous quality improvement program, 30-hour post-PCI discharge is feasible in more than 95% of suitable cases.

Edo Kaluski, MD, FACC, FESC Director of Cardiac Catherization Laboratory and Invasive Cardiology, University Hospital and University of Medicine and Dentistry, Newark, New Jersey.

Diane Alfano, RN Nurse Manager, Cardiac Catherization Laboratory, University Hospital, Newark, New Jersey.

Preet Randhawa, MD, FACC Interventional Cardiology, University Hospital and University of Medicine and Dentistry, Newark, New Jersey.

Jack Palmaro, MA, MPH Executive Director of Cardiovascular Services, University Hospital, Newark, New Jersey.

Pat Jones, RN Nurse Manager, Intensive Coronary Care Unit, University Hospital, Newark, New Jersey.

Karen Romano, RN Nurse Manager, Telemetry Unit, University Hospital, Newark, New Jersey.

Deborah Dolny-Korasick, RN Quality Improvement Supervisor, University Hospital, Newark, New Jersey.

Marc Klapholz, MD, FACC Director of Division of Cardiology, University Hospital and University of Medicine and Dentistry, Newark, New Jersey.

Corresponding author Edo Kaluski, MD, FACC, FESC, Invasive Cardiology and Cardiac Catheterization Laboratories, University Hospital, University of Medicine and Dentistry of New Jersey, 185 South Orange Ave, MSB I-538, Newark, NJ 07101 (kalusked@umdnj.edu; ekaluski@gmail.com).

© 2008 Lippincott Williams & Wilkins, Inc.