Pediatric atopic dermatitis and attention-deficit hyperactivity disorder

Methods Used: We analyzed all PCI cases that were performed at SLVHCS from July 2019 to June 2023.Parameters assessed included demographics, type of intervention, access site, ejection fraction, contrast media volume used, estimated glomerular filtration rate, the presence of complications during the case, and finally, the reason for admission when documented.Teams consisting of fellows, supervising physicians, and catheterization laboratory staff including nurses, radiation technologists, and cath lab techs were formed.The results from the year of implantation (2019-2020) were shared with the treating teams, and educational sessions regarding the safety of same day hospital discharge and known predictors of worse patient outcomes were held.The same parameters were assessed over the last 3 years after intervention implantation to assess the impact of the educational sessions on the trends of disposition.Summary of Results: Pre-intervention period of July 2019 -June 2020:28 outpatient PCIs were performed.6 out of 28 (21%) patients who underwent PCI were discharged on the same day.Post-intervention period of July 2020 -June 2021: 51 outpatient PCIs were performed.27 out of 51 (53%) patients who underwent PCI were discharged on the same day.Post-intervention period July 2021 -June 2022 33 outpatient PCIs were performed 28 out of 33 (85%) patient who underwent PCI were discharged on the same day.Post-intervention period July 2022 -June 2023 68 outpatient PCIs were performed 59 out of 68 (87%) patient who underwent PCI were discharged on the same day.Chi-square analysis was performed and the difference in same day discharges between the first year and the three additional years following intervention was statistically significant, p = <0.01.Conclusions: Our study shows that physician and catheterization laboratory staff education regarding "high-risk" procedural and patient characteristics, along with appropriate resources utilization had an impact on disposition and significantly reduced the number of postprocedural hospital admissions.