Dependent functional status rather than age is a better predictor of adverse outcomes after excision of an infected abdominal aortic graft

The optimal management of infected abdominal aortic grafts is complete surgical excision plus in situ or extra-anatomic revascularization in patients who can tolerate this morbid operation. In addition to using age and the presence of comorbidities for risk assessment, physicians form a global clini...

Full description

Saved in:
Bibliographic Details
Published in:Journal of vascular surgery 2022-04, Vol.75 (4), p.1413-1421
Main Authors: Chaudhry, Sharjeel A., Rosenfeld, Ethan S., Glousman, Brandon N., Sparks, Andrew D., Lala, Salim, Macsata, Robyn, Amdur, Richard, Sidawy, Anton N., Nguyen, Bao-Ngoc
Format: Article
Language:English
Subjects:
AAA
Aged
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - diagnostic imaging
Aortic Aneurysm, Abdominal - surgery
Blood Vessel Prosthesis Implantation - adverse effects
Elderly
Endovascular Procedures - adverse effects
Frailty
Functional Status
Graft infection
Humans
NSQIP
Postoperative Complications
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Treatment Outcome
Vascular Diseases - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The optimal management of infected abdominal aortic grafts is complete surgical excision plus in situ or extra-anatomic revascularization in patients who can tolerate this morbid operation. In addition to using age and the presence of comorbidities for risk assessment, physicians form a global clinical impression when deciding whether to offer excision or to manage conservatively. Functional status is a distinct objective measure that can inform this decision. This study examines the relative impact of age and functional status on outcomes of infected abdominal aortic graft excision to guide surgical decision-making. Current Procedural Terminology code 35907 was used to identify patients undergoing excision of infected abdominal aortic graft in the 2005 to 2017 American College of Surgeons – National Surgical Quality Improvement Program (NSQIP) database. Patients were stratified by the upper age quartile (75 years old) as a cutoff, and then by functional status, independent vs dependent (as defined by NSIQIP). The patients were then stratified into four groups: Younger (
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2021.08.102