Care of patients undergoing vascular surgery at safety net public hospitals is associated with higher cost but similar mortality to nonsafety net hospitals

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Presentation transcript:

Care of patients undergoing vascular surgery at safety net public hospitals is associated with higher cost but similar mortality to nonsafety net hospitals Mohammad H. Eslami, MD, Denis Rybin, MS, Gheorghe Doros, PhD, Alik Farber, MD Journal of Vascular Surgery Volume 60, Issue 6, Pages 1627-1634 (December 2014) DOI: 10.1016/j.jvs.2014.08.055 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Schematic drawing of the analyses described here. The National Inpatient Sample (NIS) was linked using International Classification of Disease-Ninth Revision (ICD-9) codes to identify patients who were treated for abdominal aorta aneurysm (AAA) or underwent carotid endarterectomy (CEA) or a lower extremity bypass (LEB) in a safety net public hospital (SNPH) or in a nonsafety net public hospital (n-SNPH). Journal of Vascular Surgery 2014 60, 1627-1634DOI: (10.1016/j.jvs.2014.08.055) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Comparisons of in-hospital mortality rates between safety net public hospitals (SNPHs) and nonsafety net public hospitals (nSNPHs). A, Depicts the crude mortality rates between the two hospital types. B, Depicts the multivariable analyses of the two cohorts. AAA, Abdominal aorta aneurysm; CEA, carotid endarterectomy; CI, confidence interval; LEB, lower extremity bypass; OR, odds ratio; Overall, overall samples. Journal of Vascular Surgery 2014 60, 1627-1634DOI: (10.1016/j.jvs.2014.08.055) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 Comparison of in-hospital (A) mean charges and (B) mean length of stay (LOS) between the between the safety net public hospital (SNPH) and nonsafety net public hospitals (nSNPH) cohorts. AAA, abdominal aortic aneurysm; CEA, carotid endarterectomy; LEB, lower extremity bypass. Journal of Vascular Surgery 2014 60, 1627-1634DOI: (10.1016/j.jvs.2014.08.055) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 4 Multivariable analysis of factors affecting in-hospital mortality. No difference was noted in the odds ratio (OR) of mortality of patients treated at safety net public hospitals (SNPHs) and those treated at nonsafety net public hospitals (nSNPHs). CI, Confidence interval. Journal of Vascular Surgery 2014 60, 1627-1634DOI: (10.1016/j.jvs.2014.08.055) Copyright © 2014 Society for Vascular Surgery Terms and Conditions