This was achieved after interventional cardiologists standardized treatments based on recommendations of the Society for Cardiovascular Angiography and Interventions (SCAI), said researchers presenting study results today at the SCAI 2013 Scientific Sessions.
Tools from the SCAI-Quality Improvement Toolkit (SCAI-QIT) helped clinicians at the Scott & White Memorial Hospital in Temple, TX, to reduce the percentage of patients requiring overnight hospital stays after PCI procedures from 81 percent in 2010 to 39 percent for patients undergoing the same procedures during the following two years. The marked drop in hospital stays was a direct result of procedural review and standardization of practice addressed in SCAI-QIT, which helps cardiovascular centers improve processes with step-by-step checklists and quality measures for various aspects of practice, from documentation to patient safety.
“Our quality improvement committee adopted the recommendations for length of stay following PCI, as recommended by SCAI’s 2009 expert consensus document,” said Chase Trotter, M.D., lead researcher and a cardiology fellow of Scott & White’s cardiovascular disease program. “This study was done to analyze the effect of using these recommendations and standards on outpatient PCI cases.”
In this retrospective study, researchers completed a comprehensive analysis of case records, looking at a total of 521 outpatient coronary angioplasty procedures from January 2010 through November 2012. Aspects of each case – including clinical circumstances, location of vascular access, time of day of the procedure and complications – were evaluated. A statistical analysis of group data was performed for all outpatient coronary interventions for the 284 subjects who stayed overnight and the 237 who were released the same day.
Results of the study showed that implementation and successful adoption of SCAI’s recommendations from 2011 to 2012 led to a significant reduction in overnight hospital stays. During the last year of the study, 75 percent of overnight hospital stays were found to be due to complex circumstances relating to the procedure or the already-compromised health of the patients, precluding them from quicker discharge.
“Our findings support the increasing emphasis on standardized treatment protocols to reduce variations in care and produce better outcomes,” said Dr. Trotter.
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