Decisión para el alta hospitalaria precoz después de angioplastia coronaria percutánea: revisión de alcance
DOI:
https://doi.org/10.12957/reuerj.2024.83040Palabras clave:
Intervención Coronaria Percutánea, Angioplastia, Alta del PacienteResumen
Objetivo: mapear las características clínicas y angiográficas que clasifican al paciente como de bajo riesgo cardiovascular y apto para el alta precoz después de una angioplastia coronaria. Método: revisión de alcance orientada por las recomendaciones del Instituto Joanna Briggs, realizada en diciembre de 2022 y actualizada en 2024, en las bases electrónicas de datos: BVS, Cinahl, Cochrane, Embase, Pubmed, Scopus y Web of Science para publicaciones de 2017 a 2022, sin limitación idiomática. Resultados: se seleccionaron 33 publicaciones, que dividieron el proceso asistencial en tres fases: pre, trans y post-procedimiento. Los hallazgos clínicos y los resultados inmediatos de la angioplastia guiaron el alta precoz de forma sistemática y segura. Conclusión: las características del paciente y los hallazgos clínicos permiten la clasificación de pacientes de bajo riesgo y aptos para el alta hospitalaria precoz. Además de ser efectiva, esta práctica beneficia tanto al paciente, con menores tasas de infecciones y mayor satisfacción, como a la institución, promoviendo mejor gestión de camas y reducción de costos hospitalarios.
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Oliveira GMM, Brant LCC, Polanczyk CA, Malta DC, Biolo A, Nascimento BR, Souza MFM, et al. Estatística Cardiovascular – Brasil 2021. Arq. Bras. Cardiol. 2022 [cited 2024 Mar 10]; 118(1):115-373. DOI: http://dx.doi.org/10.36660/abc.20211012.
Calderaro D, Bichuette LD, Maciel PC, Cardozo FAM, Ribeiro HB, Gualandro DM, et al. Atualização da diretriz de avaliação cardiovascular perioperatória da sociedade brasileira de cardiologia: foco em manejo dos pacientes com intervenção coronária percutânea – 2022. Arq. Bras. Cardiol. 2022 [cited 2024 Mar 10]; 118(2):536-47. DOI: https://doi.org/10.36660/abc.20220039.
Rodrigues A, Silva M,Almeida C, Ferreira FC, Morais GP, Santos L , et al. Same-day discharge after elective percutaneous coronary intervention: a single center experience. Rev Port Cardiol. 202 [cited 2024 Mar 10]0; 39(8):443-9. DOI: https://doi.org/10.1016/j.repc.2019.10.008.
Cardoso KJ, Silva DM. Complicações locais e sistêmicas em pacientes pós- angioplastia coronariana transluminal percutânea primária. J. nurs. health. 2022 [cited 2024 Mar 10]; 12(3):e2212320603. DOI: https://doi.org/10.15210/jonah.v12i3.20603.
Jones DA, Rathod KS, Mathur A, Archbold RA. Discharge after primary percutaneous coronary intervention: the earlier the better? Eur Heart J Qua Care Clin Outcomes. 2022 [cited 2024 Mar 10]; 8(3):229–31, DOI: https://doi.org/10.1093/ehjqcco/qcab100.
Banga S, Gumm DC, Kizhakekuttu TJ, Emani VK, Singh S, Singh S, et al. Left ventricular ejection fraction along with zwolle risk score for risk stratification to enhance safe and early discharge in STEMI patients undergoing primary percutaneous coronary intervention: a retrospective observational study. Cureus. 2019 [cited 2024 Mar 10]; 11(7):e5272. DOI: https://doi.org/10.7759/cureus.5272.
Rymer JA, O'Donnell CI, Plomondon ME, Hess PL, Donahue M, Hebert PL, et al. Same-day discharge among patients undergoing elective PCI: insights from the VA CART Program. Am Heart J. 2019 [cited 2024 Mar 10]; 218:75-83. DOI: https://doi.org/10.1016/j.ahj.2019.09.003.
Bawamia B, Brown A, Spyridopoulos I, Bagnall A, Edwards R, Purcell I, et al. Very early discharge after primary percutaneous coronary intervention for ST-elevation myocardial infarction: mortality outcomes at six months. Cardiovasc Revasc Med. 2023 [cited 2024 Mar 10]; 46:12-8. DOI: https://doi.org/10.1016/j.carrev.2022.08.022.
Feres F, Costa RA, Siqueira D, Costa Junior JR, Chamié D, Staico R, et.al. Diretriz da Sociedade Brasileira de Cardiologia e da Sociedade Brasileira de Hemodinâmica e Cardiologia Intervencionista sobre Intervenção Coronária Percutânea. Arq BrasCardiol. 2017 [cited 2024 Mar 10]; 109(Supl.1):1-81. Available from: https://www.scielo.br/j/abc/a/fSDVnDqyZVkYFz7gbGWh6Kg/?format=pdf&lang=pt.
Chambers CE, Dehmer GJ, Cox DA, Harrington RA, Babb JD, Popma JJ, et al. Defining the length of stay following percutaneous coronary intervention: an expert consensus document from the Society for Cardiovascular Angiography and Interventions. Endorsed by the American College of Cardiology Foundation. Catheter Cardiovasc Interv. 2009 [cited 2024 Mar 10]; 73(7):847–58. DOI: https://doi.org/10.1002/ccd.22100.
Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018 [cited 2024 Mar 10]; 39(2):119–77. DOI: https://doi.org/10.1093/eurheartj/ehx393.
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. System Rev. 2016 [cited 2024 Mar 10]; 5:210 DOI: https://doi.org/10.1186/s13643-016-0384-4.
Yousif N, Chachar TS, Subbramaniyam S, Vadgaonkar V, Noor HA. Safety and feasibility of 48 h discharge after successful primary percutaneous coronary intervention. J Saudi Heart Assoc. 2021 [cited 2024 Mar 10]; 33(1):8. DOI: https://doi.org/10.37616/2212-5043.1242.
Hosseini SK, Naghshtabrizi B, Emami F, Yazdi A, Naghshtabrizi N, Zebarjadi S. Very early discharge of patients with st-segment-elevation myocardial infarction after primary percutaneous coronary intervention. J Tehran Heart Cent. 2021 [cited 2024 Mar 10]; 16(3):113-8. DOI: https://doi.org/10.18502/jthc.v16i3.8188.
Novobilsky K, Stipal R, Cerny P, Horak I, Kaucak V, Mrozek J, et al. Safety of early discharge in low risk patients after acute ST-segment elevation myocardial infarction, treated with primary percutaneous coronary intervention. Open label, randomized trial. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2019 [cited 2024 Mar 10]; 163(1):61-6. DOI: https://doi.org/10.5507/bp.2018.041.
Khaled S, Jaha N, Shalaby G, Niazi AK, Alhazmi F, Alqasimi H, et al. Early discharge (within 24–72 h) in low-risk AMI patients treated with PCI: feasibility and safety—Hajj study. Egipt Hearth J. 2020 [cited 2024 Mar 10]; 72(1):55. DOI: https://doi.org/10.1186/s43044-020-00095-9.
Ebinger JE, Strauss CE, Garberich RR, Bradley SM, Rush P, Chavez IJ, et al. Value-Based ST-Segment-Elevation Myocardial Infarction Care Using Risk-Guided Triage and Early Discharge. Circ Cardiovasc Quali Outcomes. 2018 [cited 2024 Mar 10]; 11(4):e004553. DOI: https://doi.org/10.1161/CIRCO.118.004553.
Marbach JA, Alhassani S, Chong AY, MacPhee E, Le May M. A novel protocol for very early hospital discharge after STEMI. Can J Cardiol. 2020 [cited 2024 Mar 10]; 36(11):1826-9. DOI: https://doi.org/10.1016/j.cjca.2020.08.012.
Yndigegn T, Gilje P, Dankiewicz J, Mokhtari A, Isma N, Holmqvist J, et al. Safety of early hospital discharge following admission with ST-elevation myocardial infarction treated with percutaneous coronary intervention: a nationwide cohort study. EuroIntervention. 2022 [cited 2024 Mar 10]; 17(13):1091-9. DOI: https://doi.org/10.4244/EIJ-D-21-00501.
Chew PG, Frost F, Mullen L, Fisher M, Zadeh H, Grainger R, et al. A direct comparison of decision rules for early discharge of suspected acute coronary syndromes in the era of high sensitivity troponin. Eur Heart J Acute Cardiovasc Care. 2019 [cited 2024 Mar 10]; 8(5):421-31. DOI: https://doi.org/10.1177/2048872618755369.
Bauer D, Neuberg M, Nováčková M, Mašek P, Kočka V, Moťovská Z, et al. Predictors allowing early discharge after interventional treatment of acute coronary syndrome patients. Eur Heart J Suppl. 2022 [cited 2024 Mar 10]; 24(Suppl B):B10-5. DOI: https://doi.org/10.1093/eurheartjsupp/suac002.
Arif I, Singh R. Timely discharge of low-risk STEMI patients admitted for primary PCI in an Essex cardiothoracic centre. Br J Cardiol. 2020 [cited 2024 Mar 10]; 27(4):37. DOI: https://doi.org/10.5837/bjc.2020.037.
Cerit L. Determinants of safety of early discharge after primary percutaneous coronary intervention. Rev Port Cardiol. 2017 [cited 2024 Mar 10]; 36(1):71. DOI: https://doi.org/10.1016/j.repc.2016.07.006.
Amin AH, Alqahtani F, Aljohani S, Farjo P, Patel K, Kawasra A, et al. The Feasibility and Safety of Same-Day Discharge for All Comers after Elective Percutaneous Coronary Interventions. Cardiovasc Revasc Med. 2020 [cited 2024 Mar 10]; 21(5):588-91. DOI: https://doi.org/10.1016/j.carrev.2019.09.024.
Sharkawi MA, Filippaios A, Dani SS, Shah SP, Riskalla N, Venesy DM, et al. Identifying patients for safe early hospital discharge following ST elevation myocardial infarction. Catheter Cardiovasc Interv. 2017 [cited 2024 Mar 10]; 89(7):1141-6. DOI: https://doi.org/10.1002/ccd.26873.
Amin AP, Crimmins-Reda P, Miller S, Rahn B, Caruso M, Pierce A, et al. Novel patient-centered approach to facilitate same-day discharge in patients undergoing elective percutaneous coronary intervention. J Am Heart Assoc. 2018 [cited 2024 Mar 10]; 7(4):e005733. DOI: https://doi.org/10.1161/JAHA.117.005733.
Hariri E, Kassas I, Hammoud MA, Hansra B, Akhter MW, Fisher DZ, et al. Same day discharge following non-elective PCI for non-ST elevation acute coronary syndromes. Am Heart J. 2022 [cited 2024 Mar 10]; 246:125-35. DOI: https://doi.org/10.1016/j.ahj.2021.12.015.
Lertsanguansinchai P, Buddhari W, Chaipromprasit J, Udayachalerm W, Lertsuwunseri V, Athisakul S, et al. Safety of early and late discharge in patients with ST elevation myocardial infarction after primary percutaneous coronary intervention. J Med Assoc Thailand. 2021 [cited 2024 Mar 10]; 104(8):1339. DOI: https://doi.org/10.35755/jmedassocthai.2021.08.12742.
Mukherjee A, Modi B, Bloor C. 54 Early discharge for low-risk stemi patients after successful primary pci 8-week follow-up data. Heart. 2022 [cited 2024 Mar 10]; 108:A41-2. DOI: https://doi.org/10.1136/heartjnl-2022-BCS.54.
Azevedo PM, Mota T, Bispo J, Guedes J, Carvalho D, Marques N, et al. Identifying low-risk patients eligible for early discharge after ST-segment elevation myocardial infarction, Eur Heart J. 2019 [cited 2024 Mar 10]; 40(Suppl1):ehz745.0004. DOI: https://doi.org/10.1093/eurheartj/ehz745.0004.
Bogale NB, Melberg TM, Skadberg MS, Aasen GA, Nilsen DN, Barvik SB, et al. Patients discharged on the same day following elective PCI report equal satisfaction using health related quality of life instruments as compared to usual care: results from a randomized trial. Eur Heart J. 2019 [cited 2024 Mar 10]; 40(Suppl1):ehz746.1117. DOI: https://doi.org/10.1093/eurheartj/ehz746.1117.
Yndigegn T, Gilje P, Dankiewicz J, Mokhtari A, Isma N, Holmqvist J, et al. Safety of early hospital discharge following admission with ST-elevation myocardial infarction treated with percutaneous coronary intervention: a nationwide cohort study. EuroIntervention. 2022 [cited 2024 Mar 10]; 17(13):1091-9. DOI: https://doi.org/10.4244/EIJ-D-21-00501.
Bradley SM, Kaltenbach LA, Xiang K, Amin AP, Hess PL, Maddox TM, et al. Trends in use and outcomes of same-day discharge following elective percutaneous coronary intervention. JACC Cardiovasc Interv. 2021 [cited 2024 Mar 10]; 14(15):1655-66. DOI: https://doi.org/10.1016/j.jcin.2021.05.043.
Taxiarchi P, Kontopantelis E, Kinnaird T, Curzen N, Banning A, Ludman P, et al. Adoption of same day discharge following elective left main stem percutaneous coronary intervention. Int J Cardiol. 2020 [cited 2024 Mar 10]; 321:38-47. DOI: https://doi.org/10.1016/j.ijcard.2020.07.038.
Ginete WL, Groth NA, Rudeck MN, Renier CM, Benziger CP. Outcomes of same-day discharge following percutaneous coronary intervention in a rural population. Catheter Cardiovasc Interv. 2023 [cited 2024 Mar 10]; 102(3):472-80. DOI: https://doi.org/10.1002/ccd.30762.
Léquipar A, Chicheportiche T, Pham V, Dambrin G, Anconina J, Favereau X, et al. Same-day discharge after elective percutaneous coronary intervention in older patients. Geriatr Gerontol Int. 2023 [cited 2024 Mar 10]; 23(8):639-41. DOI: https://doi.org/10.1111/ggi.14628.
Simsek B, Khatri J, Young L, Kostantinis S, Karacsonyi J, Rempakos A, et al. Same day discharge versus overnight observation following chronic total occlusion percutaneous coronary intervention: insights from the PROGRESS-CTO registry. Catheter Cardiovasc Interv. 2023 [cited 2024 Mar 10]; 101(6):1028-35. DOI: https://doi.org/10.1002/ccd.30644.
Bawamia B, Brown A, Spyridopoulos I, Bagnall A, Edwards R, Purcell I, et al. Very early discharge after primary percutaneous coronary intervention for ST-elevation myocardial infarction: mortality outcomes at six months. Cardiovasc Revasc Med. 2023 [cited 2024 Mar 10]; 46:12-8. DOI: https://doi.org/10.1016/j.carrev.2022.08.022.
Yalamanchi R, Narra L, Nandhini V, Reddy YVC, Mahilmaran A, Sengottuvelu G, et al. Very early discharge of low-risk ST elevation MI patients after successful primary percutaneous coronary intervention (VEDLOR-STEMI) study. Eur Heart J. 2023 [cited 2024 Mar 10]; 44(Suppl2):ehad655.1504. DOI: https://doi.org/10.1093/eurheartj/ehad655.1504.
Kristo A, Gjana A, Pavli E, Duka A, Voci A, Zaimi G, et al. Safety of early discharge after primary percutaneous coronary intervention in low risk ST-segment elevation myocardial infarction presented in a tertiary center without an established STEMI network. Eur Heart J. 2023 [cited 2024 Mar 10]; 44(Suppl2):807-15. DOI: https://doi.org/10.1093/eurheartj/ehad655.1523.
Al Lawati H, Nadar SK, Al Badri M, Al Ghafri M, Al Riyami AB. Early discharge after low-risk ST-eletavation myocardial infarction and risk of adverse clinical ouctomes. validity and applicability of the zwolle risk score in a resource-restricted health system. Eur Heart J. 2023 [cited 2024 Mar 10]; 44(Suppl2):ehad655.1404. DOI: https://doi.org/10.1093/eurheartj/ehad655.1404.
Brito NN, Soares SS, Carvalho EC, Souza DG, Franco AS, Almeida LF, et al. Environmental stressors in a cardio-intensive unit and Nursing care planning: a descriptive study. Online Braz J Nurs. 2021 [cited 2024 Mar 10]; 20:e2021.6539. DOI: https://doi.org/10.17665/1676-4285.20216539.
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