Percutaneous coronary intervention monitoring to facilitate accelerated patient discharge

There are over 80,000 people undergoing percutaneous coronary intervention procedures in Britain each year. More than half of these patients are admitted overnight at an annual cost exceeding £20 million in the UK alone. The decision to admit these patients is largely dependent on physicians’ ‘gut feelings’ and it is likely this number can be reduced through careful data analysis and triage.

This study will investigate the reasons for hospital admission in people undergoing percutaneous coronary intervention with the aim of discovering what
characteristics define low versus high risk patients. We will integrate clinical and ECG data to generate an algorithm for patient risk profiling, enabling accelerated hospital discharge for low risk patients.

Robust, clinically validated percutaneous coronary intervention discharge criteria
could deliver significant time and cost savings.
Objectives
- Assess the technical feasibility and ideal use scenarios for remote cardiac monitoring.
- Establish stratification protocols to identify an ‘ideal patient profile’ for the use of cardiac monitors in remote and rural settings.
- Develop a digital algorithm to enable the identification of patients suitable for accelerated hospital discharge.

Potential impacts and outcomes
Reduced hospital admission post percutaneous coronary intervention has the potential to improve patient experience, promote increased patient mobility and deliver significant cost savings. The algorithms that will be developed therefore represent a potentially valuable new commercial product.