One-Year Readmission after Open and Endovascular Revascularization for Critical Limb Ischemia

Annals of Vascular Surgery
Cassius Iyad Ochoa ChaarMarwan S Abougergi

Abstract

Lower extremity revascularization for critical limb ischemia (CLI) remains a subject of clinical equipoise. Readmissions and repeat lower extremity revascularization increase the cost of care and decrease the value of initial treatment. This study examines readmissions and repeat inpatient revascularization and major amputation up to 1 year after initial open and endovascular lower extremity revascularization. The 2014 Nationwide Readmissions Database (NRD) was reviewed. The NRD provides all subsequent readmissions of any hospitalization for the calendar year. A cohort of patients undergoing lower extremity revascularization in January only was selected based on International Classification of Diseases, Ninth Revision, Clinical Modification codes. Patients were divided into open and endovascular groups. Readmissions for repeat lower extremity revascularization (RFR) were identified based on procedural codes. Open and endovascular lower extremity revascularization were compared in terms of patient characteristics as well as readmissions, RFR, major amputation, and inpatient mortality at 1 year. Risk-adjusted outcomes accounting for differences in age, gender, income, and Charlson Comorbidity Index (CCI) were derived using regres...Continue Reading

Citations

Aug 31, 2020·Journal of Vascular Surgery·Christopher A LatzAnahita Dua
Dec 29, 2020·BMJ Open·Rogério do Lago FrancoLuciano Andrade

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