• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Vascular and endovascular surgery >Patient and Aneurysm Characteristics Predicting Prolonged Length of Stay After Elective Open AAA Repair in the Endovascular Era
【24h】

Patient and Aneurysm Characteristics Predicting Prolonged Length of Stay After Elective Open AAA Repair in the Endovascular Era

机译：患者和动脉瘤特性预测血管内时代选修开放AAA修复后长时间的逗留长度

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction: Open aortic aneurysm repair (AAA) repair can be resource intensive and associated with a prolonged length of stay (LOS). We sought to examine patient and aneurysm predictors of prolonged LOS to better identify those at risk in the preoperative setting. Methods: Patient data were obtained from the targeted AAA American College of Surgery National Surgical Quality Improvement Program database from 2012 to 2014 of patients undergoing open AAA repair. Multivariable logistic regression was used to determine predictors of prolonged postoperative LOS defined as greater than 10 days (75th percentile). Results: There were 1172 open AAA repairs identified. The majority (54%) of patients were older than 70 years and male (74%). Surgical approach was transperitoneal (70.9%) and retroperitoneal (29.1%). Aneurysms were 51.4% infrarenal, 33% juxtarenal, 5.7% pararenal, 7.4% suprarenal, and 2.5% type IV thoracoabdominal. Mean and median LOS were 9.1 ± 7.4 and 7 (0-72) days, respectively. Independently associated with extended LOS factors were visceral revascularization (odds ratio [OR]: 5.32, 95% confidence interval [CI]: 2.77-10.22, P P = .048), suprarenal extent (OR: 1.89, 95% CI: 1.07-3.34, P = .029) and juxtarenal (OR: 1.43, 95% CI: 1.01-2.02, P = .004), non-Caucasian race (OR: 2.80, 95% CI: 1.77-4.41, P P = .004), not-from-home admission (OR: 1.91, 95% CI: 1.13-3.24), and age greater than 70 (OR: 1.49, 95% CI: 1.08-2.05, P = .014). Conclusion: We identified patient and aneurysm characteristics independently associated with protracted LOS following open AAA repair. Prospective identification of high-risk patients may allow physicians and hospitals to engage in multidisciplinary collaborations preoperatively to try to improve LOS in this resource-intensive population.
机译：介绍：开放主动脉瘤修复（AAA）修复可以资源密集，与长时间的住宿时间（LOS）相关联。我们试图审查长期洛杉矶的患者和动脉瘤预测因子，以更好地确定术前设定风险中的患者。方法：2012年至2014年从目标AAA美国手术学院获得患者数据，从2012年到2014年接受开放AAA修复的患者。多变量逻辑回归用于确定延长术后LOS的预测因子定义为大于10天（第75百分位数）。结果：确定了1172个开放的AAA维修。大多数（54％）患者年龄超过70岁，男性（74％）。手术方法是翻剖（70.9％）和逆床（29.1％）。动脉瘤是51.4％的肾上腺素，33％的Juxtarenal，5.7％Pararenal，7.4％寄生，2.5％IV型胸腔。平均值和中位数LOS分别为9.1±7.4和7（0-72）天。与扩展的LOS因子独立相关的是内脏血运重建（差距率[或]：5.32,95％置信区间[CI]：2.77-10.22，PP = .048），寄生范围（或：1.89,95％CI：1.07-3.34 ，p = .029）和Juxtarenal（或：1.43,95％Ci：1.01-2.02，P = .004），非白种人种族（或：2.80,95％CI：1.77-4.41，PP = .004），非家庭入场（或：1.91,95％CI：1.13-3.24），年龄大于70（或：1.49,95％CI：1.08-2.05，P = .014）。结论：在Open AAA修复之后，我们鉴定了与持续的LOS独立相关的患者和动脉瘤特性。高风险患者的前瞻性鉴定可能允许医生和医院术前从事多学科合作，试图改善这种资源密集型人口的洛杉矶。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号