TY  - BOOK
AU  - Chothani, Ankit
TI  - Comparison of Inhospital Outcomes and Hospitalization Costs of Peripheral Angioplasty and Endovascular Stenting
SN  - 0002-9149
PY  - 2015///
KW  - *Angioplasty/sn [Statistics & Numerical Data]
KW  - *Health Care Costs
KW  - *Hospitalization/ec [Economics]
KW  - *Peripheral Arterial Disease/su [Surgery]
KW  - *Stents/sn [Statistics & Numerical Data]
KW  - Adolescent
KW  - Adult
KW  - Aged
KW  - Aged, 80 and over
KW  - Angioplasty/ae [Adverse Effects]
KW  - Angioplasty/ec [Economics]
KW  - Cohort Studies
KW  - Databases, Factual
KW  - Female
KW  - Hospital Mortality
KW  - Hospitalization/sn [Statistics & Numerical Data]
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Peripheral Arterial Disease/ec [Economics]
KW  - Peripheral Arterial Disease/mo [Mortality]
KW  - Propensity Score
KW  - Stents/ae [Adverse Effects]
KW  - Stents/ec [Economics]
KW  - Treatment Outcome
KW  - United States/ep [Epidemiology]
KW  - Young Adult
KW  - MedStar Washington Hospital Center
KW  - Medicine/General Internal Medicine
KW  - Comparative Study
KW  - Journal Article
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
N2  - 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 (
UR  - http://dx.doi.org/10.1016/j.amjcard.2015.05.031
ER  -