Same-day discharge after percutaneous coronary intervention in light of the society for cardiovascular angiography and intervention's proposed guidelines: A single-center experience
Bibliographic record
Abstract
Introduction: Traditionally, Percutaneous Coronary Intervention (PCI) has been performed as an inpatient procedure followed by a hospital stay up to several days. With the advent of newer therapies, PCI is routinely requiring less hospital stay following the procedure. With the ever� increasing cost of healthcare and advancement in PCI, sameday discharge for lowrisk patients could become the mainstay of therapy. Methods: A retrospective chart review was conducted of patients who underwent PCI between 2008 and 2009 and had same day discharge at Providence Hospital. The parameters studied included patient's comorbidities, access site, vessels involved, anticoagulation used, and any complications following discharge. Results: Seventeen patients met the criteria. Mean age of patients was 62±11 years. 90% of patients had stable angina and underwent elective procedures. Access site was obtained via femoral route in all of the patients with sixteen having a closure device. 80% of patients had a stent placement while the rest underwent angioplasty without stent placement. All patients had intervention involving only a single vessel. No cardiac events including subacute stent thrombo sis, recurrent angina, and clinically significant arrhythmia were reported within 24 hours of the procedure. One patient developed a hematoma one week following PCI, which did not necessitate hospital admission. Conclusion: Newer advances in PCI have played a vital role in decreasing the incidence of acute complications following PCI. These advances especially when utilized with proper risk stratification through validated criteria can help identify low risk PCI patients that can be discharged safely on the same day of the procedure.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".