Implementation of a universal protocol allowed 5.1% low-risk MI patients to be discharged within 72 hours with 100% 30-day survival and average 2.5 days hospitalization.
Does a universal protocol for early discharge within 72 hours maintain 30-day survival in low-risk myocardial infarction patients treated by PCI?
Implementation of a universal protocol for early discharge within 72 hours for low-risk MI patients post-PCI is safe, achieving 100% 30-day survival.
Absolute Event Rate: 0% vs 0%
Abstract Background Risk stratification in myocardial infarction (MI) is well established. According to current acute coronary syndrome guidelines, properly selected low-risk patients may be safely discharged within 72 hours if adequate follow-up is arranged. Purpose To create and implement a universal protocol for selecting low-risk MI patients after interventional treatment and to assess its safety. Methods Our group has previously proposed a universal protocol for selecting low-risk patients with acute coronary syndrome. The protocol is based on a retrospective single-center analysis of acute coronary syndrome patients and identifies clinical and angiographic parameters associated with survival at 30 days. Subsequently, we implemented this protocol in clinical practice from July 2021. Selected patients, meeting all protocol criteria (Picture 1), were discharged from the hospital within 72 hours. Education prior to discharge and periodical telephone follow-up were an integral part of the complex approach. Mortality data were verified by the national Office of health and statistical information. Results Out of 1964 MI patients hospitalized from July 2021 to December 2024, we selected 5.1% (n=101) low-risk patients. These patients were discharged from the hospital within 72 hours. There were 75% men (n=76) and 41.6% STEMI (n=42). Further anamnestic data are present in Table. We report an excellent 100% survival at 30 days. The average hospitalization time was 2.5 days (SD 0.6). Rehospitalization within 30 days occurred in 4 cases (1 cardiac and 3 non-cardiac). 4 patients reported bleeding within 30 days, with no life-threatening event. Conclusion Implementation of a simple, universal protocol for selecting low-risk myocardial infarction patients is feasible and safe. We report an average hospitalization time of 2.5 days with excellent 100% survival at 30 days.
Bauer et al. (Sat,) reported a other. Implementation of a universal protocol allowed 5.1% low-risk MI patients to be discharged within 72 hours with 100% 30-day survival and average 2.5 days hospitalization.