Comparison of Complication Rates of Implantable Venous Access Devices: Percutaneous Versus Cephalic Vein Cut-down Techniques
| Autor: | Lisa K. Jablon, Nadia Awad, Nyali Taylor, Farah Karipineni, Rashad G. Choudry |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
education.field_of_study Percutaneous business.industry Incidence (epidemiology) Population Emergency department Vascular surgery Logistic regression Surgery Statistical significance Emergency medicine medicine Cardiology and Cardiovascular Medicine education Complication business |
| Zdroj: | Journal of Vascular Surgery. (5):62S |
| ISSN: | 0741-5214 |
| DOI: | 10.1016/j.jvs.2013.02.105 |
| Popis: | abdominal vascular surgery. A total of 388 patients were identified in the year prior to (266) and the year after (122) the intervention was initiated. Thirty-day readmission rates, emergency department (ED) visit rates, and early clinic visit rates (defined as a clinic visit less than 14 days postdischarge) were calculated and compared between the preand postintervention periods. Major demographic and comorbidities were then used to create a risk-adjusted logistic regression model examining the effect of the interventions on the outcomes. Results: Preintervention 30-day readmission rates were 9.8%, compared to 9.0% after the intervention (P 1⁄4 .81). The most common reason for readmission were infectious/wound-related (40.5%), and the incidence did not differ between preand postintervention time periods; additionally, patients with a positive screen for wound concerns at discharge were more likely to be readmitted (P 1⁄4 .04). Postoperative ED visit rates were identical in the postintervention group as compared to the preintervention group, as were the reasons for presentation. Risk-adjusted logistic regression models bore these trends out, though none reached statistical significance. Conclusions: A callback program did not reduce readmissions or direct patients to clinic rather than the ED in a population of patients undergoing major vascular surgery. A focused process for postoperative wound management may yield the highest decrease in readmissions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|