Influence of gender on outcomes after thoracic endovascular aneurysm repair

George J. Arnaoutakis, Eric B. Schneider, Dean J. Arnaoutakis, James Hamilton Black, Ying Wei Lum, Bruce Alan Perler, Julie A. Freischlag, Christopher Joseph Abularrage

Research output: Contribution to journalArticle

Abstract

Objective Previous studies have shown that female gender is associated with increased morbidity and mortality after endovascular abdominal aortic aneurysm repair. The goal of this study was to assess the effect of gender on 30-day outcomes after thoracic endovascular aortic aneurysm repair (TEVAR) using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. Methods This was a review of the 2005 to 2011 ACS-NSQIP database to identify all patients who underwent TEVAR for nonruptured thoracic aortic aneurysms. Procedure and diagnosis codes were used to capture the study population. Patients were stratified according to gender. Baseline, operative, and outcomes data were compared in bivariate fashion. The primary outcome measure was 30-day mortality, and a risk-adjusted generalized linear model with Poisson distribution was used to identify relative risk. Results During the study period, 649 patients, 279 women (43%) and 370 men (57%), underwent TEVAR. Baseline demographics according to gender were similar; however, women were less likely to drink alcohol (1% vs 5%; P =.001) and to have a history of cardiac surgery (14% vs 27%; P

Original languageEnglish (US)
Pages (from-to)45-51
Number of pages7
JournalJournal of Vascular Surgery
Volume59
Issue number1
DOIs
StatePublished - Jan 2014

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Thoracic Aortic Aneurysm
Aneurysm
Thorax
Quality Improvement
Databases
Poisson Distribution
Mortality
Abdominal Aortic Aneurysm
Thoracic Surgery
Linear Models
Alcohols
Demography
Outcome Assessment (Health Care)
Morbidity
Population

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Influence of gender on outcomes after thoracic endovascular aneurysm repair. / Arnaoutakis, George J.; Schneider, Eric B.; Arnaoutakis, Dean J.; Black, James Hamilton; Lum, Ying Wei; Perler, Bruce Alan; Freischlag, Julie A.; Abularrage, Christopher Joseph.

In: Journal of Vascular Surgery, Vol. 59, No. 1, 01.2014, p. 45-51.

Research output: Contribution to journalArticle

Arnaoutakis, George J. ; Schneider, Eric B. ; Arnaoutakis, Dean J. ; Black, James Hamilton ; Lum, Ying Wei ; Perler, Bruce Alan ; Freischlag, Julie A. ; Abularrage, Christopher Joseph. / Influence of gender on outcomes after thoracic endovascular aneurysm repair. In: Journal of Vascular Surgery. 2014 ; Vol. 59, No. 1. pp. 45-51.
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