Thirty-day readmission after lower extremity bypass in diabetic patients

Alireza Najafian, Shalini Selvarajah, Eric B. Schneider, Mahmoud B. Malas, Bryan A. Ehlert, Kristine C. Orion, Adil H. Haider, Christopher Joseph Abularrage

Research output: Contribution to journalArticle

Abstract

Background: Lower extremity bypass (LEB) for peripheral vascular disease is a common procedure in diabetics and is associated with readmission. Thus, we hypothesized that diabetes might be a predictor of 30-d unplanned readmission after LEB. Methods: Patients undergoing infrainguinal LEB in the 2011-12 American College of Surgeons National Surgery Quality Improvement Program database were divided into nondiabetics mellitus (NDM), non-insulin-dependent diabetics mellitus (NIDDM), and insulin-dependent diabetic mellitus (IDDM). Univariate and multivariate analyses were used to evaluate the influence of diabetes on 30-d readmission. Results: A total of 9207 patients (5155 [56%] NDM, 1690 (18%) NIDDM, and 2362 (26%) IDDM) underwent LEB. Unplanned readmission was observed in 1448 patients (16%). IDDM had significantly higher crude postoperative complication (43% versus 30% NDM, 36% NIDDM; P

Original languageEnglish (US)
JournalJournal of Surgical Research
DOIs
StateAccepted/In press - May 7 2015

Fingerprint

Lower Extremity
Insulin
Peripheral Vascular Diseases
Quality Improvement
Multivariate Analysis
Databases

Keywords

  • Diabetes mellitus
  • Lower extremity bypass
  • NSQIP
  • Outcome research
  • Unplanned readmission
  • Vascular surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Najafian, A., Selvarajah, S., Schneider, E. B., Malas, M. B., Ehlert, B. A., Orion, K. C., ... Abularrage, C. J. (Accepted/In press). Thirty-day readmission after lower extremity bypass in diabetic patients. Journal of Surgical Research. https://doi.org/10.1016/j.jss.2015.06.061

Thirty-day readmission after lower extremity bypass in diabetic patients. / Najafian, Alireza; Selvarajah, Shalini; Schneider, Eric B.; Malas, Mahmoud B.; Ehlert, Bryan A.; Orion, Kristine C.; Haider, Adil H.; Abularrage, Christopher Joseph.

In: Journal of Surgical Research, 07.05.2015.

Research output: Contribution to journalArticle

Najafian, Alireza ; Selvarajah, Shalini ; Schneider, Eric B. ; Malas, Mahmoud B. ; Ehlert, Bryan A. ; Orion, Kristine C. ; Haider, Adil H. ; Abularrage, Christopher Joseph. / Thirty-day readmission after lower extremity bypass in diabetic patients. In: Journal of Surgical Research. 2015.
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