Modern Lower Extremity Bypass Outcomes by Anesthesia Type in the Veteran Population
| Autor: | Kedar S. Lavingia, Sally Boyd, James M. Dittman, Wayne Tse, Michael F Amendola |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Reoperation Ileus medicine.medical_treatment Population Operative Time Anesthesia General Revascularization Risk Assessment Sepsis Peripheral Arterial Disease Postoperative Complications Anesthesia Conduction Risk Factors Statistical significance medicine Chi-square test Humans Blood Transfusion Myocardial infarction education Aged Retrospective Studies Veterans education.field_of_study Frailty business.industry Age Factors General Medicine Length of Stay Middle Aged medicine.disease United States Logistic Models Lower Extremity Anesthesia Cohort Surgery Female Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures |
| Zdroj: | Annals of vascular surgery. 80 |
| ISSN: | 1615-5947 |
| Popis: | BACKGROUND Lower extremity bypass (LEB) revascularization can be performed under general (GA) or neuraxial anesthesia (NA). Studies show that the use of NA may decrease morbidity, 30-day mortality, and hospital length-of-stay (LOS). The goal of our analysis is to examine the differences in postsurgical outcomes following LEB between patients who undergo GA compared to NA in the Veteran Affairs Surgical Quality Improvement Program (VASQIP) database. METHODS After IRB approval, the VASQIP database was assessed for patients who underwent LEB between 1998-2018. Only infrainguinal bypass procedures and anesthesia type classified as "general," "epidural," or "spinal" were included. The neuraxial cohort includes both spinal and epidural anesthesia patients. The Risk Analysis Index (RAI), a validated measure of frailty, was additionally calculated for each patient. Chi squared, paired t-test, and binary logistic regression were used to compare the cohorts. RESULTS During this period, 22,960 veterans underwent LEB recorded in VASQIP. Compared to those who underwent surgery under GA, patients with procedures performed using NA were older (66.4 ± 9.6 years vs. 65.3 ± 9 years respectively; P |
| Databáze: | OpenAIRE |
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