Journal article
Comparison of Inhospital Outcomes and Hospitalization Costs of Peripheral Angioplasty and Endovascular Stenting
The American journal of cardiology, Vol.116(4), pp.634-641
08/15/2015
DOI: 10.1016/j.amjcard.2015.05.031
PMID: 26096999
Abstract
The comparative data for angioplasty and stenting for treatment of peripheral arterial disease are largely limited to technical factors such as patency rates with sparse data on clinical outcomes like mortality, postprocedural complications, and amputation. The study cohort was derived from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample database from 2006 to 2011. Peripheral endovascular interventions were identified using appropriate International Classification of Diseases, Ninth Revision (ICD-9) Diagnostic and procedural codes. Two-level hierarchical multivariate mixed models were created. The primary outcome includes inhospital mortality, and secondary outcome was a composite of inhospital mortality and postprocedural complications. Amputation was a separate outcome. Hospitalization costs were also assessed. Endovascular stenting (odds ratio, 95% confidence interval, p value) was independently predictive of lower composite end point of inhospital mortality and postprocedural complications compared with angioplasty alone (0.96, 0.91 to 0.99, 0.025) and lower amputation rates (0.56, 0.53 to 0.60, <0.001) with no significant difference in terms of inhospital mortality alone. Multivariate analysis also revealed stenting to be predictive of higher hospitalization costs ($1,516, 95% confidence interval 1,082 to 1,950, p <0.001) compared with angioplasty. In conclusion, endovascular stenting is associated with a lower rate of postprocedural complications, lower amputation rates, and only minimal increase in hospitalization costs compared with angioplasty alone.
Details
- Title: Subtitle
- Comparison of Inhospital Outcomes and Hospitalization Costs of Peripheral Angioplasty and Endovascular Stenting
- Creators
- Sidakpal S Panaich - Cardiology Department, Detroit Medical Center, Detroit, MichiganShilpkumar Arora - Internal Medicine Department, Mount Sinai St. Luke's Roosevelt Hospital, New York, New YorkNilay Patel - Internal Medicine Department, Saint Peter's University Hospital, New Brunswick, New JerseyNileshkumar J Patel - Internal Medicine Department, Staten Island University Hospital, Staten Island, New YorkSopan Lahewala - Internal Medicine Department, Jersey City Medical Center, Jersey City, New JerseyShantanu Solanki - Internal Medicine Department, Icahn School of Medicine at Mount Sinai, New York, New YorkSohilkumar Manvar - Cardiology Department, Detroit Medical Center, Detroit, MichiganChirag Savani - Internal Medicine Department, New York Medical College, Valhalla, New YorkSunny Jhamnani - Cardiology Department, Yale School of Medicine, New Haven, ConnecticutVikas Singh - Cardiology Department, University of Miami Miller School of Medicine, Miami, FloridaSamir V Patel - Internal Medicine Department, Western Reserve Health System, Youngstown, OhioBadal Thakkar - Internal Medicine Department, Tulane School of Public Health and Tropical Medicine, New Orleans, LouisianaAchint Patel - Internal Medicine Department, Icahn School of Medicine at Mount Sinai, New York, New YorkAbhishek Deshmukh - Cardiology Department, Mayo Clinic, Rochester, MinnesotaAnkit Chothani - Cardiology Department, Med Star Washington Hospital Center, Washington, DCParth Bhatt - Internal Medicine Department, Tulane School of Public Health and Tropical Medicine, New Orleans, LouisianaGhanshyambhai T Savani - Internal Medicine Department, Prince George's Hospital Center, Cheverly, MarylandJay Patel - Cardiology Department, Detroit Medical Center, Detroit, MichiganKeyur Mavani - Cardiology Department, Wright Center for Graduate Medical Education Program, Scranton, PennsylvaniaRonak Bhimani - Internal Medicine Department, St. Vincent Charity Medical Centre, Cleveland, OhioByomesh Tripathi - Internal Medicine Department, Mount Sinai St. Luke's Roosevelt Hospital, New York, New YorkTamam Mohamad - Cardiology Department, Detroit Medical Center, Detroit, MichiganMichael S Remetz - Cardiology Department, Yale School of Medicine, New Haven, ConnecticutJeptha P Curtis - Cardiology Department, Yale School of Medicine, New Haven, ConnecticutRobert R Attaran - Cardiology Department, Yale School of Medicine, New Haven, ConnecticutCindy Grines - Cardiology Department, Detroit Medical Center, Detroit, MichiganCarlos I Mena - Cardiology Department, Yale School of Medicine, New Haven, ConnecticutMichael Cleman - Cardiology Department, Yale School of Medicine, New Haven, ConnecticutJohn K Forrest - Cardiology Department, Yale School of Medicine, New Haven, ConnecticutApurva O Badheka - Cardiology Department, Yale School of Medicine, New Haven, Connecticut. Electronic address: apurva.badheka@yale.edu
- Resource Type
- Journal article
- Publication Details
- The American journal of cardiology, Vol.116(4), pp.634-641
- DOI
- 10.1016/j.amjcard.2015.05.031
- PMID
- 26096999
- ISSN
- 0002-9149
- eISSN
- 1879-1913
- Language
- English
- Date published
- 08/15/2015
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984094401202771
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