Evidence map›Paper›PMID 38743083›Full record

SynthesisWiener klinische Wochenschrift2024

Same-day discharge after percutaneous coronary procedures-Structured review and comprehensive meta-analysis.

Mathias C Brandt, Hannes Alber, Rudolf Berger, Ronald K Binder, Julia Mascherbauer, Alexander Niessner, Martin Schmid, Bernhard Wernly, Matthias Frick, Austrian working group of interventional cardiology

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Wiener klinische Wochenschrift, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mathias C BrandtDepartment of Internal Medicine II, Paracelsus Medical University, Salzburg, Austria.
Hannes AlberDepartment of Cardiology, Public Hospital Klagenfurt am Woerthersee, Klagenfurt am Woerthersee, Austria.
Rudolf BergerDepartment of Internal Medicine, Brothers of Saint John of God Eisenstadt, Eisenstadt, Austria.
Ronald K BinderDepartment of Cardiology and Intensive Care, Klinikum Wels, Wels, Austria.
Julia MascherbauerDepartment of Internal Medicine 3/Cardiology, University Hospital St. Pölten, Karl Landsteiner University of Health Sciences, Krems, Austria.
Alexander NiessnerDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. alexander.niessner@meduniwien.ac.at.
Martin SchmidDepartment of Cardiology, Ordensklinikum Linz Elisabethinen, Linz, Austria.
Bernhard WernlyDepartment of Internal Medicine, General Hospital Oberndorf, Teaching Hospital of the Paracelsus Medical University, Salzburg, Austria.
Matthias FrickDepartment of Internal Medicine I and Cardiology, Teaching Hospital Feldkirch, Feldkirch, Austria.
Austrian working group of interventional cardiology

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPercutaneous coronary intervention is a well-established revascularization strategy for patients with coronary artery disease. The safety and feasibility of performing these procedures on a same-day discharge basis for selected patients has been studied in a large number of mostly nonrandomized trials. An up to date literature review should focus on trials with radial access, representing the current standard for coronary procedures in Austria and other European countries.

methodsThe aim of this consensus statement is to review the most recent evidence for the safety and feasibility of performing same-day discharge procedures in selected patients. A structured literature search was performed using prespecified search criteria, focusing on trials with radial access procedures.

resultsA total of 44 clinical trials and 4 large meta-analyses were retrieved, spanning 21 years of clinical evidence from 2001 to 2022. The outcome data from a wide range of clinical settings were unanimous in showing no negative effect on early (24 h) or late (30 day) major adverse events after same-day discharge coronary procedures. Based on nine prospective trials a comprehensive meta-analysis was compiled. Using 1‑month major adverse events data the pooled odds ratio of same-day discharge versus overnight stay procedures was 0.66 (95% confidence interval, CI 0.35-01.24; p = 0.19; I

conclusionOutcome data from same-day discharge coronary intervention trials with radial access confirm the robust safety profile showing no increase in the risk of major adverse events compared to overnight stay.

Indexed as

Coronary Artery DiseasePatient DischargePercutaneous Coronary InterventionAmbulatory Surgical ProceduresAustriaHumansPostoperative ComplicationsPrevalenceRisk FactorsTreatment OutcomeAmbulatory coronary interventionInterventional cardiologyMeta-analysisOutpatient treatmentStructured review

Identifiers

PMID38743083
PMCPMC11093862

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.