Background: Percutaneous coronary intervention (PCI) in a day-case setting might reduce logistic constraints on hospital resources, but data on safety are limited. Thus this pilot study was done to determine the outcomes and suitability of outpatient PCI in the Philippines which can a benchmark of other hospitals in the future.
Method: This is a Prospective Cohort Study done at Philippine Heart Center from July 1, 2016 to January 30, 2017. Patient who had either outpatient or in-patient PCI were followed-up for 7 days and 30 days and outcomes in terms of major adverse cardiac events and complications were monitored and compared between two groups using independent t-test for quantitative variables, and Fisher's exact test for qualitative variables.
Results: Among the 36 patient evaluated twelve had outpatient while 24 had inpatient PCI. There were no reported major adverse cardiac events in both groups at 7 days and 30 days follow-up. None in both groups had major bleeding and infection of vascular access. Three patients had minor bleeding, two from the outpatient group and 1 from the in-patient group.
Conclusion: This study has shown that outpatient PCI is feasible and safe in the majority of patients. Likewise, outpatient PCI does not lead to additional complications compared to in-patient PCI.