Frailty Among Veterans Undergoing Abdominal Aortic Aneurysm Repair
| Autor: | Alina J. Chen, Savannah L. Yeh, Jesus G. Ulloa, Hugh A. Gelabert, David A. Rigberg, Christian M. de Virgilio, Jessica B. O'Connell |
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| Rok vydání: | 2023 |
| Předmět: |
Aging
Frailty Prevention Endovascular Procedures Clinical Sciences Evaluation of treatments and therapeutic interventions General Medicine Aortic Aneurysm Blood Vessel Prosthesis Implantation Postoperative Complications Treatment Outcome Cardiovascular System & Hematology Risk Factors Clinical Research Surgical Wound Dehiscence Humans Surgical Wound Infection Surgery Abdominal Patient Safety Cardiology and Cardiovascular Medicine 6.4 Surgery Retrospective Studies Veterans |
| Popis: | BackgroundFrailty is a known risk factor for adverse outcomes following surgery and affects at least 3 of every 10 US Veterans aged 65years and older. We designed a study to characterize the association between frailty and complications after endovascular aneurysm repair (EVAR) compared to open aneurysm repair (OAR) at our regional Veterans Affairs Medical Center.MethodsVeterans who underwent either OAR or EVAR at our institution between January 1, 2000 and December 31, 2020 were identified. We examined medical history, procedure characteristics, perioperative complications, and frailty as measured by the 5-factor modified frailty index (mFI-5). Frailty was defined as an mFI-5 score ≥2. Primary endpoints were postoperative complications, duration of surgery, and length of hospital stay. Tests of association were performed with t-test and chi-squared analysis.ResultsOver the 21-year period, we identified 314 patients that underwent abdominal aortic aneurysm (AAA) repair with 115 (36.6%) OAR and 199 EVAR (63.4%) procedures. Patients undergoing EVAR were older on average (72.1years vs. 70.2years) and had a higher average mFI-5 compared to the open repair group (1.49 vs. 1.23, P=0.036). When comparing EVAR and OAR cohorts, patients undergoing OAR had a larger AAA diameter (6.5cm, standard deviation [SD]: 1.5) compared to EVAR (5.5cm, SD: 1.1 P |
| Databáze: | OpenAIRE |
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