FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2028583750> ?p ?o ?g. }

• W2028583750 endingPage "1171" @default.
• W2028583750 startingPage "1165" @default.
• W2028583750 abstract "BackgroundEndovascular repair (EVAR) of abdominal aortic aneurysms (AAA) has become widely accepted in the elective setting but remains controversial for emergency repair of ruptured aneurysms (rAAA). We sought to examine the national trends in use and associated outcomes with EVAR.MethodsThe Nationwide Inpatient Sample (NIS) was used to analyze all admissions for rAAA from 2001 through 2004. Nationwide temporal trends and demographics using weighted samples were evaluated. Focused univariate and multivariate analyses comparing outcomes from open repair and EVAR were done for the years 2003 and 2004.ResultsThere were 28,123 admissions for rAAA, with a stepwise decline in admissions from 2001 to 2004. Use of EVAR increased significantly from 6% of all emergency repairs in 2001 to 11% in 2004 (P < .01). Mortality for EVAR declined significantly from 43% to 29% (P < .01), but mortality with open repair showed no change (40% to 43%). From the 2003 to 2004 data set, 949 EVAR and 8982 open repairs were identified. Compared with open repair, the EVAR patients had lower mortality (31% vs 42%), shorter hospital stay (6 vs 9 days), and were more likely to be discharged to home (59% vs 37%, all P < .01). The total hospital charges for EVAR and open repair were similar ($71,428 vs $74,520, P = .59). Mortality for EVAR was significantly higher at nonteaching hospitals compared with teaching centers (55% vs 21%, P < .01) and at nonteaching centers, even exceeding that of open repair (46%). Regression modeling confirmed the overall benefits of EVAR as well as the worse outcomes at nonteaching facilities after adjusting for patient comorbidities, disease severity, and hospital or system covariates.ConclusionsEndovascular repair is being increasingly used in the emergency management of ruptured AAA, with steadily decreasing mortality during the study period. Endovascular AAA repair is associated with improved mortality and outcomes compared with open repair, but results in nonteaching centers are substantially worse than those in teaching hospitals. Endovascular repair (EVAR) of abdominal aortic aneurysms (AAA) has become widely accepted in the elective setting but remains controversial for emergency repair of ruptured aneurysms (rAAA). We sought to examine the national trends in use and associated outcomes with EVAR. The Nationwide Inpatient Sample (NIS) was used to analyze all admissions for rAAA from 2001 through 2004. Nationwide temporal trends and demographics using weighted samples were evaluated. Focused univariate and multivariate analyses comparing outcomes from open repair and EVAR were done for the years 2003 and 2004. There were 28,123 admissions for rAAA, with a stepwise decline in admissions from 2001 to 2004. Use of EVAR increased significantly from 6% of all emergency repairs in 2001 to 11% in 2004 (P < .01). Mortality for EVAR declined significantly from 43% to 29% (P < .01), but mortality with open repair showed no change (40% to 43%). From the 2003 to 2004 data set, 949 EVAR and 8982 open repairs were identified. Compared with open repair, the EVAR patients had lower mortality (31% vs 42%), shorter hospital stay (6 vs 9 days), and were more likely to be discharged to home (59% vs 37%, all P < .01). The total hospital charges for EVAR and open repair were similar ($71,428 vs $74,520, P = .59). Mortality for EVAR was significantly higher at nonteaching hospitals compared with teaching centers (55% vs 21%, P < .01) and at nonteaching centers, even exceeding that of open repair (46%). Regression modeling confirmed the overall benefits of EVAR as well as the worse outcomes at nonteaching facilities after adjusting for patient comorbidities, disease severity, and hospital or system covariates. Endovascular repair is being increasingly used in the emergency management of ruptured AAA, with steadily decreasing mortality during the study period. Endovascular AAA repair is associated with improved mortality and outcomes compared with open repair, but results in nonteaching centers are substantially worse than those in teaching hospitals." @default.
• W2028583750 created "2016-06-24" @default.
• W2028583750 creator A5008752761 @default.
• W2028583750 creator A5035039613 @default.
• W2028583750 creator A5056114888 @default.
• W2028583750 creator A5072016881 @default.
• W2028583750 creator A5078109993 @default.
• W2028583750 date "2008-06-01" @default.
• W2028583750 modified "2023-10-16" @default.
• W2028583750 title "Expanding use of emergency endovascular repair for ruptured abdominal aortic aneurysms: Disparities in outcomes from a nationwide perspective" @default.
• W2028583750 cites W1967257079 @default.
• W2028583750 cites W1969585349 @default.
• W2028583750 cites W1971541196 @default.
• W2028583750 cites W1975687342 @default.
• W2028583750 cites W1989431107 @default.
• W2028583750 cites W1999824534 @default.
• W2028583750 cites W2000632383 @default.
• W2028583750 cites W2002595458 @default.
• W2028583750 cites W2005715572 @default.
• W2028583750 cites W2008908149 @default.
• W2028583750 cites W2012231386 @default.
• W2028583750 cites W2054423769 @default.
• W2028583750 cites W2071410630 @default.
• W2028583750 cites W2072069360 @default.
• W2028583750 cites W2125363711 @default.
• W2028583750 cites W2127234829 @default.
• W2028583750 cites W2141196142 @default.
• W2028583750 cites W2171358545 @default.
• W2028583750 cites W4255146503 @default.
• W2028583750 doi "https://doi.org/10.1016/j.jvs.2008.01.055" @default.
• W2028583750 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/18394857" @default.
• W2028583750 hasPublicationYear "2008" @default.
• W2028583750 type Work @default.
• W2028583750 sameAs 2028583750 @default.
• W2028583750 citedByCount "126" @default.
• W2028583750 countsByYear W20285837502012 @default.
• W2028583750 countsByYear W20285837502013 @default.
• W2028583750 countsByYear W20285837502014 @default.
• W2028583750 countsByYear W20285837502015 @default.
• W2028583750 countsByYear W20285837502016 @default.
• W2028583750 countsByYear W20285837502017 @default.
• W2028583750 countsByYear W20285837502018 @default.
• W2028583750 countsByYear W20285837502019 @default.
• W2028583750 countsByYear W20285837502020 @default.
• W2028583750 countsByYear W20285837502021 @default.
• W2028583750 countsByYear W20285837502022 @default.
• W2028583750 countsByYear W20285837502023 @default.
• W2028583750 crossrefType "journal-article" @default.
• W2028583750 hasAuthorship W2028583750A5008752761 @default.
• W2028583750 hasAuthorship W2028583750A5035039613 @default.
• W2028583750 hasAuthorship W2028583750A5056114888 @default.
• W2028583750 hasAuthorship W2028583750A5072016881 @default.
• W2028583750 hasAuthorship W2028583750A5078109993 @default.
• W2028583750 hasBestOaLocation W20285837501 @default.
• W2028583750 hasConcept C126322002 @default.
• W2028583750 hasConcept C141071460 @default.
• W2028583750 hasConcept C144024400 @default.
• W2028583750 hasConcept C144301174 @default.
• W2028583750 hasConcept C149923435 @default.
• W2028583750 hasConcept C194828623 @default.
• W2028583750 hasConcept C2776098176 @default.
• W2028583750 hasConcept C2776543907 @default.
• W2028583750 hasConcept C2779993416 @default.
• W2028583750 hasConcept C2780084366 @default.
• W2028583750 hasConcept C2994150672 @default.
• W2028583750 hasConcept C38180746 @default.
• W2028583750 hasConcept C71924100 @default.
• W2028583750 hasConceptScore W2028583750C126322002 @default.
• W2028583750 hasConceptScore W2028583750C141071460 @default.
• W2028583750 hasConceptScore W2028583750C144024400 @default.
• W2028583750 hasConceptScore W2028583750C144301174 @default.
• W2028583750 hasConceptScore W2028583750C149923435 @default.
• W2028583750 hasConceptScore W2028583750C194828623 @default.
• W2028583750 hasConceptScore W2028583750C2776098176 @default.
• W2028583750 hasConceptScore W2028583750C2776543907 @default.
• W2028583750 hasConceptScore W2028583750C2779993416 @default.
• W2028583750 hasConceptScore W2028583750C2780084366 @default.
• W2028583750 hasConceptScore W2028583750C2994150672 @default.
• W2028583750 hasConceptScore W2028583750C38180746 @default.
• W2028583750 hasConceptScore W2028583750C71924100 @default.
• W2028583750 hasIssue "6" @default.
• W2028583750 hasLocation W20285837501 @default.
• W2028583750 hasLocation W20285837502 @default.
• W2028583750 hasOpenAccess W2028583750 @default.
• W2028583750 hasPrimaryLocation W20285837501 @default.
• W2028583750 hasRelatedWork W2061253854 @default.
• W2028583750 hasRelatedWork W2150038612 @default.
• W2028583750 hasRelatedWork W2330404122 @default.
• W2028583750 hasRelatedWork W2621294089 @default.
• W2028583750 hasRelatedWork W2803342811 @default.
• W2028583750 hasRelatedWork W2947783996 @default.
• W2028583750 hasRelatedWork W2951555197 @default.
• W2028583750 hasRelatedWork W3037686638 @default.
• W2028583750 hasRelatedWork W4239624122 @default.
• W2028583750 hasRelatedWork W4252135025 @default.
• W2028583750 hasVolume "47" @default.
• W2028583750 isParatext "false" @default.
• W2028583750 isRetracted "false" @default.

• next