Abstract
Resident participation is associated with longer operative time and higher postoperative morbidity in open vascular surgery cases
Journal of the American College of Surgeons, Vol.221(4), pp.e75-e75
10/2015
DOI: 10.1016/j.jamcollsurg.2015.08.097
Abstract
Introduction
As the concept of integrated vascular surgery residency is implemented across North America, the impact of this paradigm shift on clinical outcomes is not fully understood. Hence, the aim of this study was to determine the impact of resident participation on overall 30-day morbidity and mortality following vascular surgery procedures.
Methods
We analyzed NSQIP data to assess for open and endovascular procedures performed by a senior surgery resident (PGY 4-5) or a clinical fellow (PGY 6-7). The patients were categorized into two groups based on the basis of presence or absence of resident involvement. The primary outcome measure was peri-operative mortality between the two groups.
Results
A total of 48,588 vascular cases were identified (endovascular: 18,753; open: 29,835). When outcomes were compared among patients undergoing endovascular procedures, there was no difference in operative time (228.4 ±110.3 vs 248±98.7 minutes; p-0.7), perioperative complications (12% vs 13%; p=0.8), or 30-day mortality (2.6% vs 2.5%; p=0.8). When patients undergoing open procedures were analyzed, patients operated by residents were more likely to have longer procedures (339 ±102 min vs 313 ±89; p=0.04); higher wound infections (10.1% vs 6.5%; p=0.04); and an increasing trend towards postoperative hemorrhagic complications (5.1% vs 3%, p=0.06). There was no difference in 30 day mortality between the two groups (3.7% vs 3.2%; p=0.8).
Conclusions
In this nationwide database analysis, patients undergoing open vascular procedures by residents were more likely to have peri-operative complications than their counterparts.
Details
- Title: Subtitle
- Resident participation is associated with longer operative time and higher postoperative morbidity in open vascular surgery cases
- Creators
- Hassan Aziz - Banner - University Medical Center TucsonBernardino C. Branco - Banner - University Medical Center TucsonJohn D. Hughes - Banner - University Medical Center TucsonValentine N. Nfonsam - Banner - University Medical Center TucsonJoseph L. Mills - Banner - University Medical Center Tucson
- Resource Type
- Abstract
- Publication Details
- Journal of the American College of Surgeons, Vol.221(4), pp.e75-e75
- Publisher
- ELSEVIER SCIENCE INC
- DOI
- 10.1016/j.jamcollsurg.2015.08.097
- ISSN
- 1072-7515
- eISSN
- 1879-1190
- Language
- English
- Date published
- 10/2015
- Academic Unit
- Surgery
- Record Identifier
- 9984701745302771
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