Hospital-Level Factors Associated With Mortality After Endovascular and Open Abdominal Aortic Aneurysm Repair
Hicks C, Wick E, Canner J, Black J, Arhuidese I, Qazi U, Obeid T, Freischlag J, Malas M. Hospital-Level Factors Associated With Mortality After Endovascular and Open Abdominal Aortic Aneurysm Repair. JAMA Surgery 2015, 150: 632-636. PMID: 25970850, DOI: 10.1001/jamasurg.2014.3871.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAortic Aneurysm, AbdominalEndovascular ProceduresFemaleHospital MortalityHospitalsHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk AssessmentRisk FactorsSex FactorsTime FactorsTreatment OutcomeUnited StatesVascular Surgical ProceduresConceptsOpen AAA repairEndovascular AAA repairHospital typeAbdominal aortic aneurysmAssociated with mortalityAAA repairHospital-level factorsHospital-level effectsAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseFactors associated with mortalityAbdominal aortic aneurysm repairQuality Improvement Program databaseMortality ratioPredictor of reduced mortalityHospital effectsHospital sizeMultidisciplinary careAmerican CollegeModern careVariable hospitalAdequate accessHospitalImproved survivalVascular access modifies the protective effect of obesity on survival in hemodialysis patients
Arhuidese I, Obeid T, Hicks C, Qazi U, Botchey I, Zarkowsky D, Reifsnyder T, Malas M. Vascular access modifies the protective effect of obesity on survival in hemodialysis patients. Surgery 2015, 158: 1628-1634. PMID: 26126794, DOI: 10.1016/j.surg.2015.04.036.Peer-Reviewed Original ResearchConceptsBody mass indexEnd-stage renal diseaseNormal body mass indexProtective effect of obesityHigher body mass indexEffect of obesityObesity paradoxProtective effect of increasing BMIEffect of increased BMIBody mass index statusMass indexHD accessProtective effectAssociated with lower mortalityPropensity score matching analysisSurvival of patientsScore matching analysisSurvival benefitImproved survivalRetrospective studyHemodialysis accessInitiate hemodialysisPatient backgroundRenal diseaseCox regression