Cargando…
Propensity Score-Matched Analysis of Open Surgical and Endovascular Repair for Type B Aortic Dissection
Objective. To identify national outcomes of thoracic endovascular aortic repair (TEVAR) for type B aortic dissections (TBADs). Methods. The Nationwide Inpatient Sample database was examined from 2005 to 2008 using ICD-9 codes to identify patients with TBAD who underwent TEVAR or open surgical repair...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2011
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180776/ https://www.ncbi.nlm.nih.gov/pubmed/21961067 http://dx.doi.org/10.1155/2011/364046 |
_version_ | 1782212693879422976 |
---|---|
author | Brunt, Michael E. Egorova, Natalia N. Moskowitz, Alan J. |
author_facet | Brunt, Michael E. Egorova, Natalia N. Moskowitz, Alan J. |
author_sort | Brunt, Michael E. |
collection | PubMed |
description | Objective. To identify national outcomes of thoracic endovascular aortic repair (TEVAR) for type B aortic dissections (TBADs). Methods. The Nationwide Inpatient Sample database was examined from 2005 to 2008 using ICD-9 codes to identify patients with TBAD who underwent TEVAR or open surgical repair. We constructed separate propensity models for emergently and electively admitted patients and calculated mortality and complication rates for propensity score-matched cohorts of TEVAR and open repair patients. Results. In-hospital mortality was significantly higher following open repair than TEVAR (17.5% versus 10.8%, P = .045) in emergently admitted TBAD. There was no in-hospital mortality difference between open repair and TEVAR (5.6% versus 3.3%, P = .464) for elective admissions. Hospitals performing thirty or more TEVAR procedures annually had lower mortality for emergent TBAD than hospitals with fewer than thirty procedures. Conclusions. TEVAR produces better in-hospital outcomes in emergent TBAD than open repair, but further longitudinal analysis is required. |
format | Online Article Text |
id | pubmed-3180776 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-31807762011-09-29 Propensity Score-Matched Analysis of Open Surgical and Endovascular Repair for Type B Aortic Dissection Brunt, Michael E. Egorova, Natalia N. Moskowitz, Alan J. Int J Vasc Med Research Article Objective. To identify national outcomes of thoracic endovascular aortic repair (TEVAR) for type B aortic dissections (TBADs). Methods. The Nationwide Inpatient Sample database was examined from 2005 to 2008 using ICD-9 codes to identify patients with TBAD who underwent TEVAR or open surgical repair. We constructed separate propensity models for emergently and electively admitted patients and calculated mortality and complication rates for propensity score-matched cohorts of TEVAR and open repair patients. Results. In-hospital mortality was significantly higher following open repair than TEVAR (17.5% versus 10.8%, P = .045) in emergently admitted TBAD. There was no in-hospital mortality difference between open repair and TEVAR (5.6% versus 3.3%, P = .464) for elective admissions. Hospitals performing thirty or more TEVAR procedures annually had lower mortality for emergent TBAD than hospitals with fewer than thirty procedures. Conclusions. TEVAR produces better in-hospital outcomes in emergent TBAD than open repair, but further longitudinal analysis is required. Hindawi Publishing Corporation 2011 2011-07-20 /pmc/articles/PMC3180776/ /pubmed/21961067 http://dx.doi.org/10.1155/2011/364046 Text en Copyright © 2011 Michael E. Brunt et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Brunt, Michael E. Egorova, Natalia N. Moskowitz, Alan J. Propensity Score-Matched Analysis of Open Surgical and Endovascular Repair for Type B Aortic Dissection |
title | Propensity Score-Matched Analysis of Open Surgical and Endovascular Repair for Type B Aortic Dissection |
title_full | Propensity Score-Matched Analysis of Open Surgical and Endovascular Repair for Type B Aortic Dissection |
title_fullStr | Propensity Score-Matched Analysis of Open Surgical and Endovascular Repair for Type B Aortic Dissection |
title_full_unstemmed | Propensity Score-Matched Analysis of Open Surgical and Endovascular Repair for Type B Aortic Dissection |
title_short | Propensity Score-Matched Analysis of Open Surgical and Endovascular Repair for Type B Aortic Dissection |
title_sort | propensity score-matched analysis of open surgical and endovascular repair for type b aortic dissection |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180776/ https://www.ncbi.nlm.nih.gov/pubmed/21961067 http://dx.doi.org/10.1155/2011/364046 |
work_keys_str_mv | AT bruntmichaele propensityscorematchedanalysisofopensurgicalandendovascularrepairfortypebaorticdissection AT egorovanatalian propensityscorematchedanalysisofopensurgicalandendovascularrepairfortypebaorticdissection AT moskowitzalanj propensityscorematchedanalysisofopensurgicalandendovascularrepairfortypebaorticdissection |