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Women have similar mortality but higher morbidity than men after elective endovascular abdominal aortic aneurysm repair
- Source :
- Journal of vascular surgery. 74(2)
- Publication Year :
- 2020
-
Abstract
- Objective Sex disparities regarding outcomes for women after open and endovascular abdominal aortic aneurysm repair have been well-documented. The purpose of this study was to review whether these disparities were also present at our institution for elective endovascular aneurysm repair (EVAR) and whether specific factors predispose female patients to negative outcomes. Methods All elective EVARs were identified from our three sites (Florida, Minnesota, and Arizona) from 2000 to 2018. The primary outcome was in-hospital mortality and three-year mortality. Secondary outcomes included complications requiring return to the operating room, length of hospitalization (LOH), intensive care unit (ICU) days, and location of discharge after hospitalization. Multivariable logistic regression models were used to assess for the risk of complications. Results There were 1986 EVARs; 1754 (88.3%) were performed in male and 232 (11.7%) in female patients. Female patients were older (79 years [interquartile range (IQR), 72-83 years] vs 76 years [IQR, 70-81 years]; P Conclusions Our three-site, single-institution data support sex disparities to the detriment of female patients regarding return to the operating room after EVAR, LOH, ICU days, and discharge to rehabilitation facility. However, we found no differences for in-hospital or 3-year mortality.
- Subjects :
- Male
Reoperation
medicine.medical_specialty
Time Factors
medicine.medical_treatment
030204 cardiovascular system & hematology
Logistic regression
Endovascular aneurysm repair
Risk Assessment
law.invention
03 medical and health sciences
Blood Vessel Prosthesis Implantation
0302 clinical medicine
Primary outcome
Postoperative Complications
Sex Factors
Interquartile range
law
Risk Factors
Female patient
medicine
Humans
030212 general & internal medicine
Hospital Mortality
Healthcare Disparities
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Endovascular Procedures
Health Status Disparities
Length of Stay
medicine.disease
Intensive care unit
Abdominal aortic aneurysm
Patient Discharge
United States
Rehabilitation facility
Treatment Outcome
Elective Surgical Procedures
Emergency medicine
Surgery
Female
Cardiology and Cardiovascular Medicine
business
Aortic Aneurysm, Abdominal
Subjects
Details
- ISSN :
- 10976809
- Volume :
- 74
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of vascular surgery
- Accession number :
- edsair.doi.dedup.....2393035588739eb3c5b20b8cda1e4eb8