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We excluded patients who had died during hospitalization, 19 patients with discharge data missing and patients with a final diagnostic that did not match with the third universal definition for myocardial infarction 11 corresponding to the definition of STEMI in this study. En effet, enMelberg et al.

Safety and health status following early discharge in patients with acute myocardial infarction treated with primary PCI: Safety and feasibility of early hospital discharge in ST-segment elevation myocardial infarction–a prospective and randomized trial in low-risk primary percutaneous coronary intervention patients the Safe-Depart Trial.

Therefore, their results are less able to be extrapolated and to be used in the everyday practice in a CICU. Moreover, it would certainly have important costefficiency impacts. Moreover it would allow for a rapid cardiac rehabilitation associated with an educational program on cardiac follow-up. The early discharged patients were younger and less likely to have had diabetes, anterior myocardial infarction and reduced left ventricular ejection fraction.


Feasibility and safety of an early discharge strategy after low-risk acute myocardial infarction treated with primary percutaneous coronary intervention: Safety and cost-effectiveness of early discharge after primary angioplasty in low risk patients with acute myocardial infarction. Prasugrel versus clopidogrel in patients with acute coronary syndromes. This network is a regional emergency cardiovascular network Eastern region of France that links ten large PPCI centers together which provide hour service.

Association of changes in clinical characteristics and management with improvement in survival among patients with ST-elevation myocardial infarction.

Sortie precoce post-infarctus du myocarde

Reasons making early discharge feasible A better understanding of the patho-physiology involved in the dynamics and mechanisms of STEMI including a more thorough knowledge of the factors leading to the occurrence of complications 4, 5, 7, 26 are among the major reasons that made decreasing LOS and improving the STEMI’s prognostic possible.

Their exclusion criteria were numerous. bjostatistique

Biostatiistique has gradually shortened over time Vous m’avez fait vivre les meilleurs moments de mon internat: A direct comparison of intravenous enoxaparin with unfractionated heparin in primary percutaneous coronary intervention from the ATOLL trial.

Eur J Prev Cardiol.

In the univariate analyses, we selected and tested the criteria which seemed to be relevant according to the literature; i. Moreover, during this same period, the short-term prognostic of the STEMI’s has improved 3—6 due to several elements such as a better understanding of the delay in the onset of complications, improvements in strategies and equipments for reperfusion and improvements in drug therapies.

Heusch G, Gersh BJ. InSatilmisoglu et al. One could speculate that higher blood levels of creatinine in the late discharge group led to lower prescription rates of ACE inhibitors. EnSatilmisoglu et al.


Sortie precoce post-infarctus du myocarde

Included in the potential reasons for decreasing the LOS, there are constant economic and societal pressures 7, 8 aimed at reducing the average LOS to optimize expenditures without, however, taking into biostatistiwue the cost pcej1 of this strategy and the well-being of the patients.

Prognostic assessment of patients with acute myocardial infarction treated with primary angioplasty: Comparative effectiveness of primary PCI versus fibrinolytic therapy for ST elevation myocardial infarction: Early discharge after primary percutaneous coronary intervention for ST-elevation myocardial infarction. In our study population, patients transferred after CICU to another unit instead of returning home were younger in age 59[] vs.

Statistical analyses coours performed using the software R 2. The pathophysiology of acute myocardial infarction and strategies of protection beyond reperfusion: What is the optimal length of stay in hospital for ST elevation myocardial infarction treated with primary percutaneous coronary intervention?

This allowed us to assess the safety and feasibility of early discharge as the primary goal. Catheterisme cardiaque – Cliniques universitaires Saint-Luc.

The feasibility and safety of early discharge for low risk patients with acute myocardial infarction after successful direct percutaneous coronary intervention. Survival outcomes At one-year follow-up, 27 patients 1.

Last modified: June 11, 2020