Mortality of acute mesenteric ischemia remains unchanged despite significant increase in utilization of endovascular techniques

Vascular
Mohammad H EslamiAlik Farber

Abstract

In this study, we evaluated if increase in utilization of endovascular surgery has affected in-hospital mortality rates among patients with acute mesenteric ischemia. The National Inpatient Sample (2003-2011) was queried for acute mesenteric ischemia using ICD-9 code for acute mesenteric ischemia (557.1). This cohort was divided into patients treated with open vascular surgery (open vascular group) and by endovascular therapies (endovascular group) based on the ICD-9CM procedure codes. Multivariable logistic regression was used to determine temporal trend for mortality while adjusting for confounding variables. There was 1.45-fold increase in utilization of endovascular techniques in this study. In-hospital mortality rate, total median charges and length of stay were significantly lower among the endovascular group than the open vascular group despite having significantly higher Elixhauser comorbidities index (3 ± 0.1 vs. 2.7 ± 0.1, p = .003). Over the course of the study period, there was no change in the overall mortality rate despite higher endovascular utilization. Factors associated with increased mortality included age, open surgical repair (Odds ratio: 1.45, 95% Confidence Interval: 1.10-1.91, p = .016) and bowel resecti...Continue Reading

References

Apr 22, 1992·JAMA : the Journal of the American Medical Association·L I IezzoniT Heeren
Feb 7, 1998·Medical Care·C Black, N P Roos
Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
May 8, 1999·The European Journal of Surgery = Acta Chirurgica·N MamodeP Leiberman
Nov 6, 2002·Annals of Surgical Oncology·Cyrus A KotwallDeborah L Covington
Apr 18, 2009·Journal of Vascular Surgery·Marc L SchermerhornFrank B Pomposelli
Apr 17, 2012·Journal of Vascular Surgery·Evan J RyerThomas C Bower
Oct 29, 2013·Best Practice & Research. Clinical Gastroenterology·Olivier Corcos, Alexandre Nuzzo
Nov 10, 2013·Journal of Vascular Surgery·Robert J BeaulieuJames H Black
Mar 26, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Nobuhiro HandaYoichirou Ueno
May 14, 2014·Journal of Vascular Surgery·Juliette T M BlauwUNKNOWN Multidisciplinary Study Group of Mesenteric Ischemia

❮ Previous
Next ❯

Citations

Mar 8, 2017·The American Journal of Gastroenterology·Alexandre NuzzoOlivier Corcos
Apr 28, 2018·Current Opinion in Clinical Nutrition and Metabolic Care·Lore BilliauwsFrancisca Joly
Jul 31, 2019·Scandinavian Journal of Gastroenterology·Xinyu WangWeiwei Ding
Aug 25, 2018·Visceral Medicine·Bernd LutherErnst Klar
Jul 29, 2017·Cardiovascular and Interventional Radiology·Giancarlo SalsanoFrancesco Santini
Dec 13, 2018·The American Journal of Gastroenterology·Alexandre NuzzoOlivier Corcos
Jan 27, 2020·Journal of Visceral Surgery·L MatrayC Sabbagh
Jan 21, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Andrew S MillerDanette Wright
Feb 20, 2019·Journal of Vascular Surgery·Arnaud RousselUNKNOWN Association Universitaire de Recherche en Chirurgie Vasculaire (AURC)

❮ Previous
Next ❯

Software Mentioned

SAS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved