Hypoalbuminemia Predicts Perioperative Morbidity and Mortality after Infrainguinal Lower Extremity Bypass for Critical Limb Ischemia

Background Poor nutritional status has been associated with a higher risk of morbidity and mortality in general surgery patients; however, outcomes in vascular surgery patients are unclear. Our goal was to determine the effect of poor nutritional status on perioperative morbidity and mortality after...

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Veröffentlicht in:	Annals of vascular surgery 2017-05, Vol.41, p.169-175.e4
Hauptverfasser:	Peacock, Matthew R, Farber, Alik, Eslami, Mohammad H, Kalish, Jeffrey A, Rybin, Denis, Doros, Gheorghe, Shah, Nishant K, Siracuse, Jeffrey J
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Biomarkers - blood Chi-Square Distribution Critical Illness Databases, Factual Female Humans Hypoalbuminemia - blood Hypoalbuminemia - complications Hypoalbuminemia - diagnosis Hypoalbuminemia - mortality Ischemia - complications Ischemia - diagnosis Ischemia - mortality Ischemia - surgery Length of Stay Logistic Models Lower Extremity - blood supply Male Middle Aged Multivariate Analysis Nutritional Status Odds Ratio Patient Readmission Peripheral Arterial Disease - complications Peripheral Arterial Disease - diagnosis Peripheral Arterial Disease - mortality Peripheral Arterial Disease - surgery Postoperative Complications - diagnosis Postoperative Complications - etiology Postoperative Complications - mortality Retrospective Studies Risk Factors Serum Albumin, Human - metabolism Surgery Time Factors Treatment Outcome United States Vascular Grafting - adverse effects Vascular Grafting - mortality
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Zusammenfassung:	Background Poor nutritional status has been associated with a higher risk of morbidity and mortality in general surgery patients; however, outcomes in vascular surgery patients are unclear. Our goal was to determine the effect of poor nutritional status on perioperative morbidity and mortality after lower extremity bypass (LEB). Methods The 2005-2012 National Surgical Quality Improvement Program was analyzed to determine associated complications, mortality, length of stay (LOS), and readmissions for patients with hypoalbuminemia (serum albumin
ISSN:	0890-5096 1615-5947
DOI:	10.1016/j.avsg.2016.08.043