Cardiac catheterisation is increasingly performed in an outpatient setting.
The majority of series of outpatient cardiac catheterisation are in laboratories with immediate access to cardiovascular surgery.
However, some units may be sited more distantly, although still generally close to a hospital.
Compared to an inpatient procedure, outpatient cardiac catheterisation increases bed availability and there are considerable financial rewards with suggested savings of 11-54% of inpatient costs.
Most patients are satisfied with an outpatient procedure and, although a quarter may have unanswered questions afterwards, this level may not differ from that found with inpatients.
No study has been large enough to detect differences in the major complication rate which occur infrequently in whichever setting, and there is considerable variation between studies in the incidence of minor complications after outpatient procedures.
In the only study which randomised all eligible patients to an inpatient (189 patients) or outpatient (192 patients) procedure, seven outpatients (3.6%) suffered bleeding or developed haematomas at the site of percutaneous femoral artery puncture towards the end of the mobilisation period and one patient was syncopal.
These events were thought to be a direct result of the procedure being carried out in the outpatient setting. (...)
Mots-clés Pascal : Cathétérisme, Coeur, Malade, Ambulatoire, Economie santé, Exploration, Homme
Mots-clés Pascal anglais : Catheterization, Heart, Patient, Ambulatory, Health economy, Exploration, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0304554
Code Inist : 002B24F01. Création : 10/04/1997.