Safety and cost analysis of early discharge following percutaneous coronary intervention for acute coronary syndrome in patients with diabetes mellitus

J Int Med Res. 2019 Aug;47(8):3905-3917. doi: 10.1177/0300060519842777. Epub 2019 Jun 13.

Abstract

Objective: To evaluate the safety and cost of early discharge compared with ordinary discharge in patients with diabetes mellitus (DM) following percutaneous coronary intervention (PCI) for acute coronary syndrome.

Methods: We performed a retrospective analysis of prospectively collected data from 474 patients with DM who were discharged from hospital following PCI at a regional center between 2012 and 2015.

Results: A total of 192 patients (40.5%) were included in the early discharge group and 282 patients (59.5%) were included in the ordinary group. Mortality and morbidity after PCI were recorded. Kaplan–Meier analysis showed similar prognosis between the two groups at 30 days and at 1 year after discharge. However, hospitalization expenses for the regular discharge group were significantly higher than those of the early discharge group (RMB65,750 vs. RMB50,983).

Conclusion: Our findings demonstrate that early discharge of patients with DM following PCI for acute coronary syndrome is safe compared with ordinary discharge, and may reduce hospitalization costs.

Keywords: Diabetes mellitus; acute coronary syndrome; early discharge; hospitalization; percutaneous coronary intervention; safety and cost.

MeSH terms

  • Acute Coronary Syndrome / economics*
  • Acute Coronary Syndrome / epidemiology
  • Acute Coronary Syndrome / therapy*
  • China / epidemiology
  • Diabetes Mellitus / physiopathology*
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Length of Stay / economics*
  • Length of Stay / statistics & numerical data
  • Male
  • Middle Aged
  • Patient Discharge / economics*
  • Patient Discharge / statistics & numerical data
  • Patient Safety
  • Percutaneous Coronary Intervention / economics*
  • Percutaneous Coronary Intervention / methods
  • Prognosis
  • Prospective Studies
  • Retrospective Studies
  • Survival Rate