Kushkaran Kaur, Rhonda S Cornell, Lawrence Oresanya, Andrew J Meyr
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引用次数: 0
Abstract
Background: We evaluated adverse short-term outcomes after open lower-extremity bypass surgery in patients with diabetes mellitus with a comparison performed based on patient height.
Methods: The American College of Surgeons National Surgical Quality Improvement Program database was analyzed to select patients with Current Procedural Terminology codes 35533, 35540, 35556, 35558, 35565, 35566, 35570, and 35571 and with the diagnosis of diabetes mellitus. This resulted in 83 patients 60 inches or less in height, 1,084 between 60 and 72 inches, and 211 patients 72 inches and taller.
Results: No differences were observed among groups with respect to the development of a superficial surgical site infection (9.6% versus 6.4% versus 5.7%; P = .458), deep incisional infection (1.2% versus 1.4% versus 2.8%; P = .289), sepsis (2.4% versus 2.0% versus 2.8%; P = .751), unplanned reoperation (19.3% versus 15.6% versus 21.8%; P = .071), or unplanned hospital readmission (19.3% versus 14.8% versus 17.1%; P = .573). A significant difference was observed among groups in the development of a wound disruption (4.8% versus 1.3% versus 4.7%; P = .001). A multivariate regression analysis was performed of the wound disruption outcome with the variables of age, sex, race, ethnicity, height, weight, current smoker, and open wound/wound infection. Race (P = .025) and weight (P = .003) were found to be independently associated with wound disruption, but height was not (P = .701).
Conclusions: The results of this investigation demonstrate no significant differences in short-term adverse outcomes after lower-extremity bypass surgery based on patient height.
期刊介绍:
Geophysics, published by the Society of Exploration Geophysicists since 1936, is an archival journal encompassing all aspects of research, exploration, and education in applied geophysics.
Geophysics articles, generally more than 275 per year in six issues, cover the entire spectrum of geophysical methods, including seismology, potential fields, electromagnetics, and borehole measurements. Geophysics, a bimonthly, provides theoretical and mathematical tools needed to reproduce depicted work, encouraging further development and research.
Geophysics papers, drawn from industry and academia, undergo a rigorous peer-review process to validate the described methods and conclusions and ensure the highest editorial and production quality. Geophysics editors strongly encourage the use of real data, including actual case histories, to highlight current technology and tutorials to stimulate ideas. Some issues feature a section of solicited papers on a particular subject of current interest. Recent special sections focused on seismic anisotropy, subsalt exploration and development, and microseismic monitoring.
The PDF format of each Geophysics paper is the official version of record.