Abstract 18870: Impact of Atherectomy on Length of Stay and Cost of Care for Lower Extremity Arterial Intervention - A Cross-sectional US Experience
| Autor: | Nilay Patel, Shilpkumar Arora, Sopan Lahewala, Sidakpal S Panaich, Nileshkumar Patel, Chirag Savani, Abhishek Dave, Badal Thakkar, Achint Patel, Parth Bhatt, Sanskruti Patel, Samir V Patel, Rajesh Sonani, Kanishk Agnihotri, Aashay Patel, Vikas Singh, Sunny Jhamnani, Abhishek Deshmukh, Apurva O Badheka |
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| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Circulation. 132 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circ.132.suppl_3.18870 |
| Popis: | Background: There is lack of data regarding impact of atherectomy on the length of stay (LOS) and cost of hospitalization in lower extremity arterial revascularization. Methods: HCUP’s Nationwide Inpatient Sample (NIS) 2012 was queried using the ICD-9- CM code for peripheral vascular disease and procedural codes 39.90 (bare metal stent - BMS), 00.55 (drug eluting stent - DES), 17.56 (peripheral atherectomy) and 39.50 for angioplasty. Only procedures performed in patients ≥18 years of age were included. Hierarchical mixed effects linear regression models were generated to evaluate multivariate predictors of LOS and hospitalization costs. Results: A total of 13,206 (weighted: 66,030) lower extremity arterial revascularizations were identified (43.8% female & 65.5% white). Out of these, atherectomy was utilized in 23.2%. Atherectomy utilization was associated with significant reduction in LOS (4.96 ± 0.11 days vs. 5.78 ± 0.07 days, p Conclusion: Our study demonstrates that atherectomy utilization is associated with significant reduction in length of stay, which was counterbalanced by a slight increase in hospitalization costs following lower extremity arterial revascularization. |
| Databáze: | OpenAIRE |
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