{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T13:44:13Z","timestamp":1789911853671,"version":"4.0.1"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,7,22]],"date-time":"2023-07-22T00:00:00Z","timestamp":1689984000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Same\u2010day discharge (SDD) following percutaneous coronary intervention (PCI) is safe, yet the nationwide rate of SDD remains low. The impact that residing in a rural area has on the safety of SDD is unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the safety of SDD compared to next\u2010day discharge (NDD) among PCI patients living in a largely rural area.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>There were 3502 outpatient elective PCIs at a tertiary care center between January 1, 2011 and December 31, 2017. Data from the National Cardiovascular Data Registry CathPCI Registry\u00ae and the electronic medical records were obtained for patient demographics, procedural characteristics, and procedural outcomes. Data from the initial PCI in each 365\u2010day period were included in the analysis for each patient. Rural\u2013Urban Commuting Area\u00a0codes 4\u201310 were used to define rural status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2099 (59.9%) PCIs met the inclusion criteria (63% rural). The overall rate of SDD increased over time (4.7% in 2011 to 39.6% in 2017) as radial access increased (14.2% in 2011 to 59.9% in 2017). In this population, a total of 329 PCIs had SDD (15.7%; median (interquartile range) age 66.0 (14.0) years, 20.1% female, 52.3% rural status). Compared to NDD, SDD patients had less hyperlipidemia, atrial fibrillation, congestive heart failure, history of coronary artery bypass graft, and more radial access. SDD was noninferior to NDD for 30\u2010day readmission but had a decreased 1\u2010year (adjusted odds ratio [aOR]: 0.20, 95% confidence interval [CI]: 0.05\u20130.81, <jats:italic>p<\/jats:italic>\u2009=\u20090.024) and 5\u2010year (aOR: 0.43, 95% CI: 0.28\u20130.66, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) all\u2010cause mortality compared to NDD. Rural status did not predict outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>SDD in patients in rural areas does not have a significantly higher rate of 30\u2010day readmission. SDD patients had lower odds of 1\u2010 and 5\u2010year mortality when compared to NDD. Future studies prospectively evaluating the safety of SDD in this population are warranted.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30762","type":"journal-article","created":{"date-parts":[[2023,7,22]],"date-time":"2023-07-22T11:03:35Z","timestamp":1690023815000},"page":"472-480","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Outcomes of same\u2010day discharge following percutaneous coronary intervention in a rural population"],"prefix":"10.1002","volume":"102","author":[{"given":"Wilson L.","family":"Ginete","sequence":"first","affiliation":[{"name":"Essentia Health Heart and Vascular Center Duluth Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole A.","family":"Groth","sequence":"additional","affiliation":[{"name":"Essentia Institute of Rural Health Duluth Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Macaela N.","family":"Rudeck","sequence":"additional","affiliation":[{"name":"Essentia Institute of Rural Health Duluth Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen M.","family":"Renier","sequence":"additional","affiliation":[{"name":"Essentia Institute of Rural Health Duluth Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8992-6197","authenticated-orcid":false,"given":"Catherine P.","family":"Benziger","sequence":"additional","affiliation":[{"name":"Essentia Health Heart and Vascular Center Duluth Minnesota 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