Comparison of Inhospital Outcomes and Hospitalization Costs of Peripheral Angioplasty and Endovascular Stenting.
Comparison of Inhospital Outcomes and Hospitalization Costs of Peripheral Angioplasty and Endovascular Stenting.
- 2015
Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
The comparative data for angioplasty and stenting for treatment of peripheral arterial disease are largely limited to technical factors such as patency rates with sparse data on clinical outcomes like mortality, postprocedural complications, and amputation. The study cohort was derived from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample database from 2006 to 2011. Peripheral endovascular interventions were identified using appropriate International Classification of Diseases, Ninth Revision (ICD-9) Diagnostic and procedural codes. Two-level hierarchical multivariate mixed models were created. The primary outcome includes inhospital mortality, and secondary outcome was a composite of inhospital mortality and postprocedural complications. Amputation was a separate outcome. Hospitalization costs were also assessed. Endovascular stenting (odds ratio, 95% confidence interval, p value) was independently predictive of lower composite end point of inhospital mortality and postprocedural complications compared with angioplasty alone (0.96, 0.91 to 0.99, 0.025) and lower amputation rates (0.56, 0.53 to 0.60, <0.001) with no significant difference in terms of inhospital mortality alone. Multivariate analysis also revealed stenting to be predictive of higher hospitalization costs (
English
0002-9149
*Angioplasty/sn [Statistics & Numerical Data]
*Health Care Costs
*Hospitalization/ec [Economics]
*Peripheral Arterial Disease/su [Surgery]
*Stents/sn [Statistics & Numerical Data]
Adolescent
Adult
Aged
Aged, 80 and over
Angioplasty/ae [Adverse Effects]
Angioplasty/ec [Economics]
Cohort Studies
Databases, Factual
Female
Hospital Mortality
Hospitalization/sn [Statistics & Numerical Data]
Humans
Male
Middle Aged
Peripheral Arterial Disease/ec [Economics]
Peripheral Arterial Disease/mo [Mortality]
Propensity Score
Stents/ae [Adverse Effects]
Stents/ec [Economics]
Treatment Outcome
United States/ep [Epidemiology]
Young Adult
MedStar Washington Hospital Center
Medicine/General Internal Medicine
Comparative Study
Journal Article
Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
The comparative data for angioplasty and stenting for treatment of peripheral arterial disease are largely limited to technical factors such as patency rates with sparse data on clinical outcomes like mortality, postprocedural complications, and amputation. The study cohort was derived from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample database from 2006 to 2011. Peripheral endovascular interventions were identified using appropriate International Classification of Diseases, Ninth Revision (ICD-9) Diagnostic and procedural codes. Two-level hierarchical multivariate mixed models were created. The primary outcome includes inhospital mortality, and secondary outcome was a composite of inhospital mortality and postprocedural complications. Amputation was a separate outcome. Hospitalization costs were also assessed. Endovascular stenting (odds ratio, 95% confidence interval, p value) was independently predictive of lower composite end point of inhospital mortality and postprocedural complications compared with angioplasty alone (0.96, 0.91 to 0.99, 0.025) and lower amputation rates (0.56, 0.53 to 0.60, <0.001) with no significant difference in terms of inhospital mortality alone. Multivariate analysis also revealed stenting to be predictive of higher hospitalization costs (
English
0002-9149
*Angioplasty/sn [Statistics & Numerical Data]
*Health Care Costs
*Hospitalization/ec [Economics]
*Peripheral Arterial Disease/su [Surgery]
*Stents/sn [Statistics & Numerical Data]
Adolescent
Adult
Aged
Aged, 80 and over
Angioplasty/ae [Adverse Effects]
Angioplasty/ec [Economics]
Cohort Studies
Databases, Factual
Female
Hospital Mortality
Hospitalization/sn [Statistics & Numerical Data]
Humans
Male
Middle Aged
Peripheral Arterial Disease/ec [Economics]
Peripheral Arterial Disease/mo [Mortality]
Propensity Score
Stents/ae [Adverse Effects]
Stents/ec [Economics]
Treatment Outcome
United States/ep [Epidemiology]
Young Adult
MedStar Washington Hospital Center
Medicine/General Internal Medicine
Comparative Study
Journal Article