The management of lower extremities peripheral arterial disease (LE-PAD) has always
been debatable. We sought to explore in-hospital outcomes in hospitalizations that
underwent endovascular or bypass surgery for LE-PAD from nation's largest, publicly
available database. The National Inpatient Sample from 2012 to 2014 was queried to
identify adult hospitalizations underwent endovascular management and bypass surgery
for LE-PAD. Appropriate International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic and procedural codes were utilized to identify hospitalizations. A total
of 89,256 hospitalizations were identified having endovascular management or bypass
surgery for LE-PAD. More hospitalizations underwent endovascular intervention as compared
with bypass surgery. Overall, hospitalizations for endovascular management had higher
baseline co-morbidities and older age. A propensity score matched analysis was performed
to compare in-hospital outcomes. After matching, 28,791 hospitalizations were included
in each group. In-hospital mortality was significantly lower with endovascular intervention
procedure as compared with surgical bypass group (1.5% vs 2.5%, p ≤0.001). All other
secondary outcomes were noted lower with endovascular management except stroke and
postprocedural infection. Taken together, these may account for higher discharges
to home, lower length of stay, and less cost of hospitalizations associated with endovascular
management. In conclusion, endovascular management is associated with lower in-hospital
morbidity, mortality, length of stay, and cost when compared with bypass surgery in
this study.
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Article Info
Publication History
Published online: August 20, 2018
Accepted:
August 2,
2018
Received in revised form:
July 27,
2018
Received:
May 27,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
