JACC. Case reports · 2025
Implementation of an Elective PCI Patient Risk Assessment and Exclusion Criteria Tool.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Tursi Elizabeth A, Rana Bijal M, Morgan Kathleen M, Schafranek William
Аннотация
BACKGROUND: New Jersey amended Cardiac Law (P.L. 2021, c. 18) in 2021, granting cardiac catheterization laboratories without onsite cardiac surgery services licensure to perform non-high risk elective percutaneous intervention (PCI) procedures. Patients considered for elective PCI must undergo careful selection, screening, and risk stratification.
PROJECT RATIONALE: Hunterdon Health, a community hospital without onsite cardiac surgery services, recognized the need to establish an elective PCI risk assessment and exclusion criteria tool to be used pre-, intra-, and postprocedure to guide with appropriate patient selection and discharge home the same day of the procedure.
PROJECT SUMMARY: Our aim was the implementation of a novel risk tool at the onset of an elective PCI program. We examined the tool's usage and effectiveness in guiding high-risk lesion identification and same-day discharge.
TAKE-HOME MESSAGE: A community hospital's cardiac catheterization laboratory licensed for non-high risk elective PCI can safely stratify risk and provide high-quality and safe care to the community that it serves.
PROJECT RATIONALE: Hunterdon Health, a community hospital without onsite cardiac surgery services, recognized the need to establish an elective PCI risk assessment and exclusion criteria tool to be used pre-, intra-, and postprocedure to guide with appropriate patient selection and discharge home the same day of the procedure.
PROJECT SUMMARY: Our aim was the implementation of a novel risk tool at the onset of an elective PCI program. We examined the tool's usage and effectiveness in guiding high-risk lesion identification and same-day discharge.
TAKE-HOME MESSAGE: A community hospital's cardiac catheterization laboratory licensed for non-high risk elective PCI can safely stratify risk and provide high-quality and safe care to the community that it serves.