Impact of a Specifically Designed Model of Care in an Outpatient Coronary Angioplasty Program

pp. 183-188

Abstract

Background: An outpatient model of care for percutaneous coronary procedures called Radial Lounge (RL) was designed at our center. Patients wear their own clothes throughout their stay, with no mobility restrictions and without fasting. Before and after the procedure, they remain in an armchair accompanied by a family member until discharge, without continuous monitoring, under the supervision of a nurse dedicated exclusively to this area.

Objectives: The aim of this study was to evaluate the safety and efficacy of the RL model of care, the same-day discharge (SDD) rate, patient experience, and major adverse cardiovascular events (MACE): in-hospital mortality, overall mortality, and re-hospitalization at 30 days

Methods: A retrospective observational cohort study was conducted at a cardiovascular center, including consecutively enrolled patients undergoing elective percutaneous coronary intervention (PCI) in the RL.

Results: A total of 2102 elective PCI procedures were included under the RL model. The SDD rate was 85.3% in the first year of its implementation (2018) and reached 89% in 2022. Assessing patient experience, the average score obtained through the Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was 9.61/10. The rate of MACE was not higher than that reported in the literature.

Conclusion: The PCI program in the RL proved to be a safe and effective model in our experience.

How to cite this article:

Liberman F, Botto FO, Benzadón MN, Lamelas PM, Spaletra PM, Pedernera GO, y cols. Impact of a Specifically Designed Model of Care in an Outpatient Coronary Angioplasty Program. Rev Argent Cardiol 2024;92:183-8. http://dx.doi.org/10.7775/rac.v92.i3.20770