Sixty-seven consecutive patients who had suffered an acute myocardial infarction but no serious complications during the first to fourth hospital days were considered for a trial of hospital discharge at one week. Thirty-three of the 67 patients were discharged at one week, the remainder having a mean hospital stay of 11 +/- 2 days. The incidence of late complications and recurrent infarctions, as well as mortality and functional status, were determined in all patients six months after discharge. No serious complications occurred in either subgroup within three weeks after discharge. There were no deaths in either subgroup and no difference in functional status at six months. Patients without serious complications during the four days after an acute myocardial infarction can be spared the economic costs and psychologic stress of prolonged hospitalization.
This article has been cited by other articles:
Bogaty, P., Dumont, S., O'Hara, G. E., Boyer, L., Auclair, L., Jobin, J., Boudreault, J.-R.
(2001). Randomized trial of a noninvasive strategy to reduce hospital stay for patients with low-risk myocardial infarction. J Am Coll Cardiol
37: 1289-1296
[Abstract][Full Text]
van der Vlugt, J.M, Boersma, H, Leenders, C.M, Pop, G.A.M, Veerhoek, M.J, Simoons, M.L, Deckers, J.W
(2000). Prospective study of early discharge after acute myocardial infarction (SHORT). Eur Heart J
21: 992-999
[Abstract]
Newby, L. K., Eisenstein, E. L., Califf, R. M., Thompson, T. D., Nelson, C. L., Peterson, E. D., Armstrong, P. W., Van de Werf, F., White, H. D., Topol, E. J., Mark, D. B.
(2000). Cost Effectiveness of Early Discharge after Uncomplicated Acute Myocardial Infarction. NEJM
342: 749-755
[Abstract][Full Text]
Parson, R W, Jamrozik, K D, Hobbs, M S T, Thompson, D L
(1994). Early identification of patients at low risk of death after myocardial infarction and potentially suitable for early hospital discharge. BMJ
308: 1006-1010
[Abstract][Full Text]
McDonald, C. J., Tierney, W. M.
(1988). Computer-Stored Medical Records: Their Future Role in Medical Practice. JAMA
259: 3433-3440
[Abstract]
Lee, T. H., Cook, E. F., Weisberg, M., Sargent, R. K., Wilson, C., Goldman, L.
(1985). Acute Chest Pain in the Emergency Room: Identification and Examination of Low-Risk Patients. Arch Intern Med
145: 65-69
[Abstract]
PRYOR, D. B., HINDMAN, M. C., WAGNER, G. S., CALIFF, R. M., RHOADS, M. K., ROSATI, R. A.
(1983). Early Discharge After Acute Myocardial Infarction. ANN INTERN MED
99: 528-538
[Abstract]
McCLURE, W.
(1983). The Competition Strategy for Medical Care. The ANNALS of the American Academy of Political and Social Science
468: 30-47
[Abstract]
GOLDMAN, L.
(1983). Cardiac Risks and Complications of Noncardiac Surgery. ANN INTERN MED
98: 504-513
[Abstract]
Baughman, K. L., Hutter, A. M. Jr, DeSanctis, R. W., Kallman, C. H.
(1982). Early Discharge Following Acute Myocardial Infarction: Long-term Follow-up of Randomized Patients. Arch Intern Med
142: 875-878
[Abstract]
Pozen, M. W., Lerner, D. J., D'Agostino, R. B., Belanger, A. J., Buckley, S. A.
(1982). Differential Effects of Experience on House Officers' Admission Diagnoses for Patients with Possible Myocardial Infarction. Med Decis Making
2: 13-21
Severance, H. W. Jr, Morris, K. G., Wagner, G. S.
(1982). Criteria for Early Discharge After Acute Myocardial Infarction: Validation in a Community Hospital. Arch Intern Med
142: 39-41
[Abstract]
Fuchs, R., Scheidt, S.
(1981). Improved Criteria for Admission to Cardiac Care Units. JAMA
246: 2037-2041
[Abstract]
Skoulas, A., Alloo, R. G., Weisbart, M. H., Manelis, M. A.
(1981). Duration of Hospital Stay and Post- Myocardial Infarction Morbidity and Mortality: A Kaiser-Permanente Experience. ANGIOLOGY
32: 509-516
[Abstract]
Stein, R. A., Walsh, W., Frank, F., Fernaine, A., Krasnow, N.
(1980). Clinical Value of Early Exercise Testing After Myocardial Infarction. Arch Intern Med
140: 1179-1181
[Abstract]
Frazier, H., Hiatt, H.
(1978). Evaluation of medical practices. Science
200: 875-878
[Abstract]
