Department of Cardiology, London Chest Hospital, London, UK.
Am Heart J. 2013 Mar;165(3):299-302. doi: 10.1016/j.ahj.2012.10.003. Epub 2012 Nov 5.
Two advantages of transradial coronary procedures are an increased potential for same-day discharge and better resource management. This study assessed the impact of a dedicated "radial lounge" (1) on the rate of same-day discharge after elective percutaneous coronary intervention (PCI) and coronary angiography and (2) on bed utilization.
We compared our unit's rates of same-day discharge in patients who underwent elective PCI or coronary angiography in the year before and in the year after the opening of a dedicated radial lounge for elective patients.
In its first year of operation, 439 patients who underwent PCI and 1,109 patients who underwent angiography were managed in the radial lounge. Among these patients, the rate of same-day discharge was 84.7% after PCI and 97.0% after angiography. Requirement for overnight admission was significantly more common after femoral access compared with radial access for both angiography (4.1% vs 2.8%, P < .05) and PCI (20.3% vs 14.2%, P < .01). The unit's overall rate of same-day discharge increased from 2.3% to 51.2% after elective PCI (P < .0005) and from 72.7% to 84.9% after elective angiography (P < .005). An estimated 595 bed days were saved through reduced overnight admissions in elective patients.
Our unit's overall rates of same-day discharge after elective PCI and coronary angiography increased dramatically in the year after the opening of a dedicated radial lounge. This was directly attributable to the high rates of same-day discharge in radial lounge patients. The radial lounge impacted favorably on in-patient bed capacity.
经桡动脉冠状动脉介入术有两个优势，一是增加了当天出院的可能性，二是更好地管理了资源。本研究评估了专用“桡动脉休息室”（1）对择期经皮冠状动脉介入治疗（PCI）和冠状动脉造影后当天出院率的影响，以及（2）对床位利用的影响。
我们比较了在专用桡动脉休息室为择期患者开放前后一年中，行择期 PCI 或冠状动脉造影的患者的当天出院率。
在开业的第一年，有 439 例接受 PCI 的患者和 1109 例接受血管造影的患者在桡动脉休息室接受了治疗。这些患者中，PCI 后当天出院率为 84.7%，血管造影后为 97.0%。与桡动脉入路相比，股动脉入路行血管造影（4.1%比 2.8%，P <.05）和 PCI（20.3%比 14.2%，P <.01）时，需要过夜入院的比例显著更高。择期 PCI 后，该单位的总体当天出院率从 2.3%增加到 51.2%（P <.0005），择期血管造影后从 72.7%增加到 84.9%（P <.005）。通过减少择期患者的过夜住院，估计节省了 595 个床位日。
专用桡动脉休息室开放后，该单位择期 PCI 和冠状动脉造影后当天出院率在一年内大幅增加。这直接归因于桡动脉休息室患者的高当天出院率。桡动脉休息室对住院床位容量产生了有利影响。
