FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3036952977> ?p ?o ?g. }

• W3036952977 endingPage "e286" @default.
• W3036952977 startingPage "e285" @default.
• W3036952977 abstract "Stress testing is commonly used before abdominal aortic aneurysm (AAA) repair. Whether stress testing can prevent cardiac events after AAA repair remains unclear. Our objective was to study national stress test utilization rates and to compare perioperative outcomes between high-use centers and low-use centers. We examined patients who underwent elective endovascular (EVR) or open (OPEN) AAA repair in the Vascular Quality Initiative. We measured utilization rates of stress testing across centers and compared the Vascular Study Group of New England Cardiac Risk Index (VSG CRI) score of patients who underwent preoperative stress tests with those who did not. We determined the rate of major adverse cardiac events (MACEs), a composite of perioperative myocardial infarction, stroke, heart failure exacerbation, or death, across centers. We compared MACE and 1-year mortality of centers in the highest quintile of stress test utilization vs those in the lowest quintile. We studied 43,396 EVR patients and 8935 OPEN patients. The median stress test utilization before EVR was 35.9% and varied from 10.2% (5th percentile) to 73.7% (95th percentile), with similar variability for OPEN (median, 57.9%; range, 13.0%-86.0%). The mean VSG CRI score for patients who did not undergo stress testing was 5.4 (±2.1) for EVR and 4.8 (±2.1) for OPEN. Patients who underwent stress testing had a slightly higher VSG CRI score (EVR, 5.6 [±2.1]; OPEN, 5.1 [±2.0]; Fig). The rate of MACE was 1.8% after EVR and 11.6% after OPEN. One-year mortality was 4.6% for EVR and 6.6% for OPEN. Centers in the highest quintile of stress testing had a higher adjusted likelihood of MACE (EVR: odds ratio [OR], 1.78; 95% confidence interval [CI], 1.37-2.30; OPEN: OR, 1.92; 95% CI, 1.49-2.47) but similar 1-year mortality (EVR: OR, 1.18; 95% CI, 1.02-1.37; OPEN: OR, 0.86; 95% CI, 0.64-1.15) compared with centers in the lowest quintile. The VSG CRI score was not different between high-use (EVR, 5.5 ± 2.1; OPEN, 5.0 ± 2.0) and low-use centers (EVR, 5.5 ± 2.1; OPEN, 4.9 ± 2.0). Stress test utilization before AAA repair varies widely despite similar patient risk profiles. There was no observed reduction in MACE or 1-year mortality among high stress test-using centers. The value of routine stress testing before AAA repair should be reconsidered and used on a more judicious basis." @default.
• W3036952977 created "2020-06-25" @default.
• W3036952977 creator A5015112160 @default.
• W3036952977 creator A5028804702 @default.
• W3036952977 creator A5030045473 @default.
• W3036952977 creator A5030586232 @default.
• W3036952977 creator A5035256323 @default.
• W3036952977 creator A5035282581 @default.
• W3036952977 creator A5053614501 @default.
• W3036952977 creator A5065001569 @default.
• W3036952977 date "2020-09-01" @default.
• W3036952977 modified "2023-09-26" @default.
• W3036952977 title "Stress Testing Before Abdominal Aortic Aneurysm Repair Does Not Prevent Postoperative Cardiac Events" @default.
• W3036952977 doi "https://doi.org/10.1016/j.jvs.2020.06.033" @default.
• W3036952977 hasPublicationYear "2020" @default.
• W3036952977 type Work @default.
• W3036952977 sameAs 3036952977 @default.
• W3036952977 citedByCount "0" @default.
• W3036952977 crossrefType "journal-article" @default.
• W3036952977 hasAuthorship W3036952977A5015112160 @default.
• W3036952977 hasAuthorship W3036952977A5028804702 @default.
• W3036952977 hasAuthorship W3036952977A5030045473 @default.
• W3036952977 hasAuthorship W3036952977A5030586232 @default.
• W3036952977 hasAuthorship W3036952977A5035256323 @default.
• W3036952977 hasAuthorship W3036952977A5035282581 @default.
• W3036952977 hasAuthorship W3036952977A5053614501 @default.
• W3036952977 hasAuthorship W3036952977A5065001569 @default.
• W3036952977 hasBestOaLocation W30369529771 @default.
• W3036952977 hasConcept C126322002 @default.
• W3036952977 hasConcept C141071460 @default.
• W3036952977 hasConcept C164705383 @default.
• W3036952977 hasConcept C199360897 @default.
• W3036952977 hasConcept C2776098176 @default.
• W3036952977 hasConcept C2778789114 @default.
• W3036952977 hasConcept C2779993416 @default.
• W3036952977 hasConcept C2780739214 @default.
• W3036952977 hasConcept C31174226 @default.
• W3036952977 hasConcept C41008148 @default.
• W3036952977 hasConcept C45393284 @default.
• W3036952977 hasConcept C500558357 @default.
• W3036952977 hasConcept C71924100 @default.
• W3036952977 hasConcept C7515471 @default.
• W3036952977 hasConceptScore W3036952977C126322002 @default.
• W3036952977 hasConceptScore W3036952977C141071460 @default.
• W3036952977 hasConceptScore W3036952977C164705383 @default.
• W3036952977 hasConceptScore W3036952977C199360897 @default.
• W3036952977 hasConceptScore W3036952977C2776098176 @default.
• W3036952977 hasConceptScore W3036952977C2778789114 @default.
• W3036952977 hasConceptScore W3036952977C2779993416 @default.
• W3036952977 hasConceptScore W3036952977C2780739214 @default.
• W3036952977 hasConceptScore W3036952977C31174226 @default.
• W3036952977 hasConceptScore W3036952977C41008148 @default.
• W3036952977 hasConceptScore W3036952977C45393284 @default.
• W3036952977 hasConceptScore W3036952977C500558357 @default.
• W3036952977 hasConceptScore W3036952977C71924100 @default.
• W3036952977 hasConceptScore W3036952977C7515471 @default.
• W3036952977 hasIssue "3" @default.
• W3036952977 hasLocation W30369529771 @default.
• W3036952977 hasOpenAccess W3036952977 @default.
• W3036952977 hasPrimaryLocation W30369529771 @default.
• W3036952977 hasRelatedWork W1871392962 @default.
• W3036952977 hasRelatedWork W2020050573 @default.
• W3036952977 hasRelatedWork W2049397185 @default.
• W3036952977 hasRelatedWork W2089715561 @default.
• W3036952977 hasRelatedWork W2091598337 @default.
• W3036952977 hasRelatedWork W2110653948 @default.
• W3036952977 hasRelatedWork W2399063111 @default.
• W3036952977 hasRelatedWork W2969704120 @default.
• W3036952977 hasRelatedWork W2987233822 @default.
• W3036952977 hasRelatedWork W4304166097 @default.
• W3036952977 hasVolume "72" @default.
• W3036952977 isParatext "false" @default.
• W3036952977 isRetracted "false" @default.
• W3036952977 magId "3036952977" @default.
• W3036952977 workType "article" @default.