Decisão para alta hospitalar precoce após angioplastia coronariana percutânea: revisão de escopo
DOI:
https://doi.org/10.12957/reuerj.2024.83040Palavras-chave:
Intervenção Coronária Percutânea, Angioplastia, Alta do PacienteResumo
Objetivo: mapear as características clínicas e angiográficas que classificam o paciente como baixo risco cardiovascular e apto para alta precoce após angioplastia coronariana. Método: revisão de escopo orientada pelas recomendações do Instituto Joanna Briggs, realizada em dezembro de 2022 e atualizada em 2024, nas bases eletrônicas de dado: BVS, Cinahl, Cochrane, Embase, Pubmed, Scopus e Web off Science para publicações de 2017 a 2022, sem limitação idiomática. Resultados: selecionadas 33 publicações, que dividiram o processo assistencial em três fases: pré, trans e pós-procedimento. Achados clínicos e resultados imediatos da angioplastia nortearam a alta precoce de forma sistemática e segura. Conclusão: características do paciente e achados clínicos possibilitam a classificação de pacientes de baixo risco e aptos à alta hospitalar precoce. Além de efetiva, esta prática beneficia tanto o paciente, com menores taxas de infecções e maior satisfação, como a instituição, promovendo melhor gestão de leitos e diminuição dos custos hospitalares.
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