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Comparison of Inhospital Outcomes and Hospitalization Costs of Peripheral Angioplasty and Endovascular Stenting.
- Source :
-
The American journal of cardiology [Am J Cardiol] 2015 Aug 15; Vol. 116 (4), pp. 634-41. Date of Electronic Publication: 2015 May 29. - Publication Year :
- 2015
-
Abstract
- The comparative data for angioplasty and stenting for treatment of peripheral arterial disease are largely limited to technical factors such as patency rates with sparse data on clinical outcomes like mortality, postprocedural complications, and amputation. The study cohort was derived from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample database from 2006 to 2011. Peripheral endovascular interventions were identified using appropriate International Classification of Diseases, Ninth Revision (ICD-9) Diagnostic and procedural codes. Two-level hierarchical multivariate mixed models were created. The primary outcome includes inhospital mortality, and secondary outcome was a composite of inhospital mortality and postprocedural complications. Amputation was a separate outcome. Hospitalization costs were also assessed. Endovascular stenting (odds ratio, 95% confidence interval, p value) was independently predictive of lower composite end point of inhospital mortality and postprocedural complications compared with angioplasty alone (0.96, 0.91 to 0.99, 0.025) and lower amputation rates (0.56, 0.53 to 0.60, <0.001) with no significant difference in terms of inhospital mortality alone. Multivariate analysis also revealed stenting to be predictive of higher hospitalization costs ($1,516, 95% confidence interval 1,082 to 1,950, p <0.001) compared with angioplasty. In conclusion, endovascular stenting is associated with a lower rate of postprocedural complications, lower amputation rates, and only minimal increase in hospitalization costs compared with angioplasty alone.<br /> (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Angioplasty adverse effects
Angioplasty economics
Cohort Studies
Databases, Factual
Female
Hospital Mortality
Hospitalization statistics & numerical data
Humans
Male
Middle Aged
Peripheral Arterial Disease economics
Peripheral Arterial Disease mortality
Propensity Score
Stents adverse effects
Stents economics
Treatment Outcome
United States epidemiology
Young Adult
Angioplasty statistics & numerical data
Health Care Costs
Hospitalization economics
Peripheral Arterial Disease surgery
Stents statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1879-1913
- Volume :
- 116
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The American journal of cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 26096999
- Full Text :
- https://doi.org/10.1016/j.amjcard.2015.05.031