Same-Day Discharge: The ACEF Score

Close to 1 million percutaneous coronary interventions (PCIs) are performed in the United States (US) annually, with health-care costs approaching $10 billion. With an overall aging population, there are increasing demands for fewer hospital beds. Substantial advances in interventional cardiology techniques and equipment have allowed same-day discharge for elective PCI procedures. 

Despite the initial demonstration of the feasibility and safety of post-PCI same-day discharge in a select patient population, there are few data that examine outcomes for patients stratified by baseline risk. In part, this may be due to the increasing number of scoring systems. The age, serum creatinine, and left ventricular ejection fraction (ACEF) score uses a simple, validated scoring tool that predicts mortality risk in elective cardiac operations, with higher scores denoting a higher risk. The ACEF score has also been used to stratify risk in patients undergoing PCI with respect to mortality and risk of myocardial infarction. In this study, we describe and compare the overall outcomes for patients undergoing elective same-day discharge PCI versus those admitted for overnight observation post PCI, and also examine outcomes for various ACEF scores.

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