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).

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From: American Heart Journal(Vol. 159, Issue 1)
Publisher: Elsevier B.V.
Document Type: Report; Brief article
Length: 179 words

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Abstract :

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.ahj.2009.10.024 Byline: Mark A. Kotowycz (a)(b), Tammy L. Cosman (a), Corinne Tartaglia (a), Rizwan Afzal (a), Renu Pal Syal (a), Madhu K. Natarajan (a)(c) Abstract: Patients with ST-segment elevation myocardial infarction (STEMI) have traditionally been hospitalized for 5 to 7 days to monitor for serious complications such as heart failure, arrhythmias, reinfarction, and death. The Zwolle Primary Percutaneous Coronary Intervention (PCI) Index is an externally validated risk score that has been used to identify low-risk STEMI patients who have undergone primary PCI and can safely be discharged from hospital within 72 hours. Previous studies have shown that many low-risk patients remain in hospital significantly longer. Author Affiliation: (a) Population Health Research Institute, Hamilton Health Sciences, Hamilton, Ontario, Canada (b) Division of Cardiology, McGill University, Montreal, Quebec, Canada (c) Division of Cardiology, McMaster University, Hamilton, Ontario, Canada Article History: Received 27 February 2009; Accepted 3 October 2009 Article Note: (footnote) Clinicaltrials.gov #NCT00474214 , Sources of funding: McMaster Internal Medicine resident research grant. Regional Medical Associates (RMA) resident research scholarship.

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Gale Document Number: GALE|A214925848