Can we improve length of hospitalization in ST elevation myocardial infarction patients treated with primary percutaneous coronary intervention?Peut-on réduire la durée d’hospitalisation des patients ayant eu un infarctus du myocarde avec élévation du segment ST traités au moyen d’une intervention coronaire percutanée primaire ?
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Cited by (21)
Utility of Zwolle Risk Score in Guiding Low-Risk STEMI Discharge
2021, Heart Lung and CirculationEarly vs Late Discharge in Low-Risk ST-Elevation Myocardial Infarction Patients Treated With Percutaneous Coronary Intervention: A Systematic Review and Meta-Analysis
2020, Cardiovascular Revascularization MedicineShort-term and long-term validation of the fastest score in patients with ST-elevation myocardial infarction after primary angioplasty
2018, International Journal of CardiologyCitation Excerpt :Length of STEMI hospital-stay has been reduced in the last years; besides, prolonged hospitalizations have been associated with more complications, resulting in an increase of healthcare cost [11,12]. In the primary percutaneous coronary intervention era, radial approach, experienced operators, administration of more effective antithrombotic therapies, improved equipment, knowledge of coronary artery disease and improved devices reduce post - STEMI complications and shorten length of hospital stay, which have improved outcomes in these patients [1,11–15]. Since implementation of primary PCI, early discharge has not been associated with high mortality or cardiovascular events [16, 17].
Very low risk ST-segment elevation myocardial infarction? It exists and may be easily identified
2017, International Journal of CardiologyCitation Excerpt :To date, the Zwolle score, described by De Luca et al. in 2004 [7], has proven itself as a useful index for risk stratification after primary PCI. This score has been validated in several studies and may be utilized in up to 60–70% of all STEMI patients [13,14,23,24]. Even though the Zwolle risk score permits an early discharge in the majority of subjects, death rates from any cause at 30 days reach 0.5–1% [7,13,14], long-term outcomes are lacking, and around 18% of patients develop formal contraindications for early discharge [7,23].
Applicability of the Zwolle risk score for safe early discharge after primary percutaneous coronary intervention in ST-segment elevation myocardial infarction
2015, Revista Portuguesa de CardiologiaCitation Excerpt :Some authors have raised concerns about early discharge after STEMI.2,18,19 The potential disadvantages of this strategy include less time for patient education (e.g. smoking cessation), drug titration and cardiac rehabilitation.17 Notwithstanding these concerns, a study by Kotowycz et al. showed that drug adherence and smoking cessation rates among acute MI patients who were discharged early did not differ between those allocated to close post-discharge follow-up compared to those undergoing normal follow-up.3