Jessica P. Simons, MD, MPH, Andres Schanzer, MD, Brian W

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Presentation transcript:

Outcomes and practice patterns in patients undergoing lower extremity bypass Jessica P. Simons, MD, MPH, Andres Schanzer, MD, Brian W. Nolan, MD, MS, David H. Stone, MD, Jeffrey A. Kalish, MD, Jack L. Cronenwett, MD, Philip P. Goodney, MD, MS Journal of Vascular Surgery Volume 55, Issue 6, Pages 1629-1636 (June 2012) DOI: 10.1016/j.jvs.2011.12.043 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Inpatient trends in use of medical therapies. Journal of Vascular Surgery 2012 55, 1629-1636DOI: (10.1016/j.jvs.2011.12.043) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Annual proportion of infrainguinal lower extremity bypasses for claudication and for critical limb ischemia, P = .001. Journal of Vascular Surgery 2012 55, 1629-1636DOI: (10.1016/j.jvs.2011.12.043) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Univariate effect of additional sites to the Vascular Study Group of New England on annual proportion of infrainguinal lower extremity bypasses for intermittent claudication, 2003 to 2009. In order to protect the anonymity of sites as they were added, the analyses were performed as comparisons between year groups to assess the effect of adding new centers over time. Journal of Vascular Surgery 2012 55, 1629-1636DOI: (10.1016/j.jvs.2011.12.043) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 Percentage of patients with history of endovascular intervention prior to infrainguinal lower extremity bypass. P for trend = .0204 for intermittent claudication, P for trend for critical limb ischemia < .0001. Journal of Vascular Surgery 2012 55, 1629-1636DOI: (10.1016/j.jvs.2011.12.043) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 5 Inpatient trends in complications and mortality. Journal of Vascular Surgery 2012 55, 1629-1636DOI: (10.1016/j.jvs.2011.12.043) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 6 Trends in use of cardioprotective medications (beta blockers, statins, or antiplatelet agents) and in-hospital operative myocardial infarction (MI)/dysrhythmia, among the total cohort. P for trend < .0001 for cardioprotective medications, P for trend = .4384 for MI/dysrhythmia. Journal of Vascular Surgery 2012 55, 1629-1636DOI: (10.1016/j.jvs.2011.12.043) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 7 Inpatient trends in mean lengths of stay. Journal of Vascular Surgery 2012 55, 1629-1636DOI: (10.1016/j.jvs.2011.12.043) Copyright © 2012 Society for Vascular Surgery Terms and Conditions