Sex-based differences in loss of independence after lower extremity bypass surgery. Academic Article uri icon

Overview

abstract

  • INTRODUCTION: This study analyzes sex-based differences in the risk of discharge to a nonhome facility (loss of independence) after lower extremity revascularization and resultant outcomes. METHODS: Data from the NSQIP database for years 2015-2017 was utilized to assess sex-based differences in loss of independence and associated unplanned readmission and 30-day amputation using chi-square, student t-test, and multivariate logistic regression analyses where appropriate. RESULTS: There was increased loss of independence in women (34.9% vs. 26.1 %, p < .01) and associated increase in unplanned readmission (18.4% vs. 13.6 %, p = .01) and length of stay (12.1 days vs 6.5 days, p < .01). Endovascular revascularization was associated with decreased likelihood of loss of independence (OR 0.43, CI 0.36-0.50). CONCLUSION: Loss of independence after lower extremity bypass surgery affects women more than men and it is associated with worse postoperative outcomes.

publication date

  • July 21, 2021

Research

keywords

  • Limb Salvage
  • Peripheral Arterial Disease
  • Postoperative Complications
  • Vascular Surgical Procedures

Identity

Scopus Document Identifier

  • 85112013015

Digital Object Identifier (DOI)

  • 10.1016/j.amjsurg.2021.07.022

PubMed ID

  • 34364654