Medicare inpatient and 90-day postdischarge adverse outcomes in carotid artery surgery.

Abstract:

BACKGROUND:Longitudinal, risk-adjusted measurement of outcomes of carotid artery (CA) surgery is necessary for the evaluation of quality performance and for the assessment of strategies of quality improvement. METHODS:Patients from quality coding hospitals who underwent CA surgery and met procedural and diagnostic coding requirements in the Medicare Inpatient Limited Data Set from 2009 to 2011 were used to design logistic prediction models for the Adverse Outcomes (AOs) of inpatient deaths, 3-sigma prolonged length-of-stay outliers (prLOS) among live discharges, 90-day post-discharge deaths without readmission (PD-90), and 90-day post-discharge readmissions (ReAdm-90). RESULTS:A total of 653 quality coding hospitals had 54,183 CA surgery cases. There were 122 inpatient deaths (0.23%) and 3,337 (6.2%) prLOS. After discharge, there were 258 patients that were PD-90 and 9,804 patients (18.1 % of live discharges) were readmitted. Among all readmissions, 1,592 (13.3%) were judged to be totally unrelated to the index operation. A total of 495 patients died during readmission to the hospital. The rate of total adverse outcome was 22.6% with all ReAdm-90 cases counted. CONCLUSION:In CA surgery, more AOs occur in the 90 days after discharge than during the inpatient period of care. ReAdm-90 remains the major cause for AOs and represents the greatest opportunity for improvement in the care of CA surgery patients.

journal_name

Surgery

journal_title

Surgery

authors

Fry DE,Pine M,Locke D,Reband A,Torres Z,Pine G

doi

10.1016/j.surg.2015.06.005

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

1056-62; discussion 1062-4

issue

4

eissn

0039-6060

issn

1532-7361

pii

S0039-6060(15)00452-3

journal_volume

158

pub_type

杂志文章

相关文献

SURGERY文献大全
  • Postoperative-stimulated serum thyroglobulin measured at the time of 131I ablation is useful for the prediction of disease status in patients with differentiated thyroid carcinoma.

    abstract:BACKGROUND:This study was conducted to identify the relevant cutoff value and to evaluate the usefulness of postoperative-stimulated serum thyroglobulin (Tg) at the time of (131)I ablation for the prediction of disease status in patients with differentiated thyroid carcinoma (DTC) who received high-dose (131)I ablation...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2012.12.008

    authors: Lee JI,Chung YJ,Cho BY,Chong S,Seok JW,Park SJ

    更新日期:2013-06-01 00:00:00

  • The biologic features of intramucosal gastric carcinoma with lymph node metastasis.

    abstract::This review concentrates on the clinicopathologic studies and molecular biologic studies of intramucosal gastric carcinomas (IMGCs) with lymph node metastasis that have been published to date. There have been several reports in which IMGCs with lymph node metastasis were compared with IMGCs without lymph node metastas...

    journal_title:Surgery

    pub_type: 杂志文章,评审

    doi:10.1067/msy.2002.119307

    authors: Kabashima A,Maehara Y,Koga T,Kakeji Y,Sugimachi K

    更新日期:2002-01-01 00:00:00

  • Moesin expression is associated with the estrogen receptor-negative breast cancer phenotype.

    abstract:BACKGROUND:Estrogen receptor (ER)-positive breast carcinomas possess a less aggressive phenotype than ER-negative breast carcinomas. We hypothesize that a set of genes exists that is expressed only in ER-negative breast carcinomas, which account for the more malignant phenotypic characteristics of these tumors. METHOD...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Carmeci C,Thompson DA,Kuang WW,Lightdale N,Furthmayr H,Weigel RJ

    更新日期:1998-08-01 00:00:00

  • Total gastrectomy in patients with gastric adenocarcinoma: Is there an advantage to the minimally invasive approach?

    abstract:BACKGROUND:Previous evaluations of the oncologic efficacy of minimally invasive approaches to total gastrectomy in gastric adenocarcinoma have been limited by sample size and duration of follow-up. METHODS:We queried the National Cancer Database to identify patients undergoing robotic and laparoscopic or open total ga...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2019.05.041

    authors: Sweigert PJ,Eguia E,Nelson MH,Nassoiy SP,Knab LM,Abood G,Baker MS

    更新日期:2019-10-01 00:00:00

  • Laparoscopic-assisted cecectomy is associated with decreased formation of postoperative pulmonary metastases compared with open cecectomy in a murine model.

    abstract:BACKGROUND:It was shown in a murine model that sham laparotomy is associated with a higher incidence of postoperative lung metastases when compared with results seen after carbon dioxide pneumoperitoneum. Using the same tumor model, the present study was undertaken to determine if the addition of bowel resection to the...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/s0039-6060(03)00136-3

    authors: Carter JJ,Feingold DL,Kirman I,Oh A,Wildbrett P,Asi Z,Fowler R,Huang E,Whelan RL

    更新日期:2003-09-01 00:00:00

  • Computed tomography measured psoas density predicts outcomes in trauma.

    abstract:BACKGROUND:Age-related loss of muscle mass and function (sarcopenia) is linked to poor outcomes after operation and trauma. Here we evaluate computed tomography measured psoas muscle density and area using quick and simple tools available to the bedside clinician. We hypothesize these measures will predict poor outcome...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2017.03.014

    authors: Yoo T,Lo WD,Evans DC

    更新日期:2017-08-01 00:00:00

  • Laparoscopic versus open adrenalectomy: another look at outcome using the Clavien classification system.

    abstract:BACKGROUND:A laparoscopic approach to adrenalectomy has become the procedure of choice for most adrenal resections. We hypothesized that laparoscopic adrenalectomy is less likely to result in intensive care unit (ICU) level complications or death than open adrenalectomy, despite baseline comorbidity mix. METHODS:Using...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2012.08.020

    authors: Eichhorn-Wharry LI,Talpos GB,Rubinfeld I

    更新日期:2012-12-01 00:00:00

  • Healing of ischemic colonic anastomoses in the rat: role of antibiotic preparation.

    abstract::In this study we evaluated the relative effects of ischemia with and without antibiotic bowel preparation on colonic wound healing. Thirty-two Sprague-Dawley rats (185 to 300 gm) were divided into five study groups: Groups I and II (n = 14) had no colonic ischemia, half receiving antibiotic bowel preparation before co...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Cohen SR,Cornell CN,Collins MH,Sell JE,Blanc WA,Altman RP

    更新日期:1985-04-01 00:00:00

  • Resection of abdominal aortic aneurysm in the presence of horseshoe kidney.

    abstract::We report four cases of abdominal aortic aneurysm associated with horseshoe kidney. These cases illustrate the factors that determine the ease of resection in this situation: whether the isthmus of the kidney is parenchymatous or thin and fibrous; the presence or absence of anomalous renal arteries; and the origin of ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Starr DS,Foster WJ,Morris GC Jr

    更新日期:1981-03-01 00:00:00

  • Expression of glial cell line-derived neurotrophic factor family members and their receptors in pancreatic cancers.

    abstract:BACKGROUND:The glial cell line-derived neurotrophic factor (GDNF) is a member of neurotrophic polypeptide family, which promotes survival and rescue of various neural cells in the central and peripheral nerve systems. We previously reported that GDNF promotes tumor cell invasion in pancreatic cancer cell lines. The pur...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2005.07.007

    authors: Ito Y,Okada Y,Sato M,Sawai H,Funahashi H,Murase T,Hayakawa T,Manabe T

    更新日期:2005-10-01 00:00:00

  • Replacement of the inferior vena cava and iliac veins with heterologous grafts in animal tests.

    abstract::The use of a modified bovine collagen graft as a low-pressure conduit was investigated by implantation into the iliocaval system of dogs. In the 210 day observation period, a patency rate of 87.5% was achieved. Nearly all graft failures occured within the first 14 days following implantation; failure after that time d...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Horsch S,Pichlmaier H,Walter P,Landes T

    更新日期:1978-11-01 00:00:00

  • Patient perspectives on postoperative visits after common general operative procedures.

    abstract:BACKGROUND:Many postoperative concerns after common general operative procedures may be addressed over the phone, thereby saving time and resources for both the patient and surgeon. METHODS:Over a 6-month time period, patients who underwent laparoscopic cholecystectomy, appendectomy for uncomplicated appendicitis, and...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2013.05.005

    authors: Wright GP,Wolf AM,Ambrosi G,Dull MB,Chung MH

    更新日期:2013-10-01 00:00:00

  • Ectopic parathyroid adenoma of the lateral triangle of the neck: report of two cases.

    abstract::Ectopically placed parathyroid adenomas have been described in many locations. This article documents two patients in whom the adenoma was present in the lateral triangle of the neck, outside of the carotid sheath, and lateral to the jugular vein. ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Udekwu AO,Kaplan EL,Wu TC,Arganini M

    更新日期:1987-01-01 00:00:00

  • Perioperative recombinant human erythropoietin.

    abstract::The risks of transfusion-associated infectious disease have made increased efforts to avoid homologous transfusion imperative. Little attention has been focused on efforts to accelerate erythropoiesis as a method of reducing homologous blood use. Recombinant human erythropoietin (rHuEPO) has been shown to enhance eryt...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Levine EA,Gould SA,Rosen AL,Sehgal LR,Egrie JC,Sehgal HL,Levine HD,Moss GS

    更新日期:1989-08-01 00:00:00

  • Impact of perioperative administration of synbiotics in patients with esophageal cancer undergoing esophagectomy: a prospective randomized controlled trial.

    abstract:BACKGROUND:The clinical value of synbiotics in patients undergoing esophagectomy remains unclear. This study investigated the effects of synbiotics on intestinal microflora and surgical outcomes in a clinical setting. METHODS:We studied 70 patients with esophageal cancer who were scheduled to undergo esophagectomy. Th...

    journal_title:Surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.surg.2012.02.021

    authors: Tanaka K,Yano M,Motoori M,Kishi K,Miyashiro I,Ohue M,Ohigashi H,Asahara T,Nomoto K,Ishikawa O

    更新日期:2012-11-01 00:00:00

  • Vessel wall and indium-111-labelled platelet response to carotid endarterectomy.

    abstract::Postendarterectomy platelet deposition and thrombus formation may play an important role not only in vessel wall healing but also in the small incidence of postoperative cerebral ischemia and postoperative stenosis. A study has been performed using a canine model to investigate the healing response to carotid endarter...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Lusby RJ,Ferrell LD,Englestad BL,Price DC,Lipton MJ,Stoney RJ

    更新日期:1983-03-01 00:00:00

  • The role of calcium in acute pancreatitis.

    abstract::Until recently, it was unclear whether calcium is more than a bystander in the development of acute pancreatitis. Now important evidence has been accumulated supporting a pivotal role of intracellular levels of calcium in the early pathogenesis of the disease. A sustained increase of cytosolic calcium concentrations, ...

    journal_title:Surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.surg.2012.05.013

    authors: Frick TW

    更新日期:2012-09-01 00:00:00

  • Evaluation and management of thoracopancreatic fistula.

    abstract:BACKGROUND:Thoracopancreatic fistula is a rare clinical entity but a serious complication of inflammatory pancreatic diseases, caused by a disruption of the pancreatic ductal system. Its diagnosis is frequently misleading, however, and thus is often delayed. METHODS:Seven patients with thoracopancreatic fistula who pr...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2006.02.020

    authors: Tajima Y,Tsutsumi R,Kuroki T,Mishima T,Adachi T,Kitasato A,Kanematsu T

    更新日期:2006-11-01 00:00:00

  • Population-based esophageal cancer survival after resection without neoadjuvant therapy: an update.

    abstract:BACKGROUND:There are few population-based studies addressing the survival after resection for esophageal cancer. This study represents an update of a nationwide Swedish cohort initiated in 1987. METHODS:Based on data from the Swedish Patient Register, Swedish Cancer Register, and histopathologic records, 1,008 patient...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2012.03.025

    authors: Rutegård M,Charonis K,Lu Y,Lagergren P,Lagergren J,Rouvelas I

    更新日期:2012-11-01 00:00:00

  • A comparative study of serum ultrafiltrable, ionized, and total calcium in the diagnosis of primary hyperparathyroidism in patients with intermittent or no elevation in total calcium.

    abstract::Measurement of serum ionized calcium has been shown to be more sensitive a method of diagnosing primary hyperparathyroidism than total calcium in patients with subtle or intermittent elevations of total calcium. The measurement of ionized calcium, however, is technically difficult. The measurement of serum ultrafiltra...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Forster J,Monchik JM,Martin HF

    更新日期:1988-12-01 00:00:00

  • Somatostatin receptor regulation of gastric enterochromaffin-like cell transformation to gastric carcinoid.

    abstract:BACKGROUND:Although somatostatin is recognized as an inhibitor of neuroendocrine cell secretion, its effect on cell proliferation has not been well defined. Generation of low acid and hypergastrinemia through irreversible H2-receptor blockade (loxtidine) in the African rodent mastomys results in gastric carcinoids (ECL...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/s0039-6060(96)80050-x

    authors: Borin JF,Tang LH,Kidd M,Miu K,Borteçen KH,Sandor A,Modlin IM

    更新日期:1996-12-01 00:00:00

  • Persistently elevated parathyroid hormone levels after parathyroid surgery.

    abstract:BACKGROUND:Persistent elevation of serum parathyroid hormone (PTH), despite normocalcemia, occurs in 8% to 40% of patients after parathyroidectomy. Explanations have included hypocalcemia owing to vitamin D deficiency or bone remineralization, and persistent hyperparathyroidism. METHODS:A retrospective chart review of...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2005.08.026

    authors: Wang TS,Ostrower ST,Heller KS

    更新日期:2005-12-01 00:00:00

  • Effect of the Bethesda system for reporting thyroid cytopathology on thyroidectomy rates and malignancy risk in cytologically indeterminate lesions.

    abstract:BACKGROUND:Cytologically indeterminate thyroid nodules represent a diagnostic and therapeutic challenge. In 2007, the National Cancer Institute recommended The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) as a means of improving the accuracy of thyroid cytopathology. Our objective was to determine the e...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2010.09.017

    authors: Rabaglia JL,Kabbani W,Wallace L,Holt S,Watumull L,Pruitt J,Snyder WH,Nwariaku FE

    更新日期:2010-12-01 00:00:00

  • Prolonged hypoxia alters endothelial barrier function.

    abstract:BACKGROUND:It is well recognized that hypoxia/reoxygenation and exposure to inflammatory mediators such as cytokines and neutrophils alter the barrier function of the vascular endothelium. The experiments we conducted tested whether hypoxia alone could produce changes in permeability and whether a prolonged period of h...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Ali MH,Schlidt SA,Hynes KL,Marcus BC,Gewertz BL

    更新日期:1998-09-01 00:00:00

  • Comparative analysis of vein and prosthetic bypass grafts to the isolated popliteal artery.

    abstract::The effectiveness of prosthetic femoropopliteal bypass grafts to salvage limbs and maintain long-term patency in lower extremities with a limited outflow tract is controversial. To evaluate the results of prosthetic grafts and compare them with the results of vein bypass grafts in limbs with a limited outflow tract, w...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Corson JD,Brewster DC,LaSalle AJ,Darling RC

    更新日期:1982-04-01 00:00:00

  • N-ras mutation: an independent prognostic factor for aggressiveness of papillary thyroid carcinoma.

    abstract:BACKGROUND:The clinical importance of point mutations of ras oncogene in differentiated thyroid cancers has not been fully clarified. The purpose of this study is to determine the prognostic importance of ras mutation in papillary thyroid carcinoma. METHODS:Tumors of 91 patients with papillary carcinoma were studied; ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Hara H,Fulton N,Yashiro T,Ito K,DeGroot LJ,Kaplan EL

    更新日期:1994-12-01 00:00:00

  • Expandable intraluminal vascular graft: a feasibility study.

    abstract::An expandable intraluminal graft mounted coaxially over an angioplasty balloon catheter was used in dog arteries. The graft, a wire mesh tube that has the ability to retain its expanded shape, opposes elastic recoil of the arterial wall after maximum balloon inflation. Eighteen grafts were placed in the abdominal aort...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Palmaz JC,Sibbitt RR,Tio FO,Reuter SR,Peters JE,Garcia F

    更新日期:1986-02-01 00:00:00

  • Living-unrelated renal transplantation provides comparable results to living-related renal transplantation: a 12-year single-center experience.

    abstract:BACKGROUND:The increasing success of renal transplantation is paralleled by the increased size of the waiting list. Efforts to increase the donor pool have included the use of living-unrelated kidney donors (LURDs). METHODS:During a 12-year period our center performed 309 transplantation from living donors; 279 patien...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/s0039-6060(96)80264-9

    authors: Lowell JA,Brennan DC,Shenoy S,Hagerty D,Miller S,Ceriotti C,Cole B,Howard TK

    更新日期:1996-05-01 00:00:00

  • Prospective study of wound complications in continuous infrainguinal incisions after lower limb arterial reconstruction: incidence, risk factors, and cost.

    abstract:BACKGROUND:Wound complications after lower extremity arterial reconstruction can range from a minor lymphatic leak that causes minimal disability to a severe infection that jeopardizes the limb and life of the affected patient. This study was designed to define more clearly the incidence, severity, and the cost of thes...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/s0039-6060(96)80135-8

    authors: Kent KC,Bartek S,Kuntz KM,Anninos E,Skillman JJ

    更新日期:1996-04-01 00:00:00

  • Quantitative comparison of operative skill using 2- and 3-dimensional monitors during laparoscopic phantom tasks.

    abstract:BACKGROUND:The recent development of stereoscopic images using 3-dimensional monitors is expected to improve techniques for laparoscopic operation. Several studies have reported technical advantages in using 3-dimensional monitors with regard to operative accuracy and working speed, but there are few reports that analy...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2016.08.060

    authors: Nishi M,Kanaji S,Otake Y,Harada H,Yamamoto M,Oshikiri T,Nakamura T,Suzuki S,Suzuki Y,Hiasa Y,Sato Y,Kakeji Y

    更新日期:2017-05-01 00:00:00