MARC details
000 -LEADER |
fixed length control field |
04179nam a22003857a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
221213s20222022 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
0741-5214 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1016/j.jvs.2022.11.043 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
S0741-5214(22)02534-4 [pii] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
36400363 |
245 ## - TITLE STATEMENT |
Title |
Locoregional Anesthesia is Associated with Reduced Hospital Stay and Need for ICU Care of Elective EVAR Patients in the Vascular Quality Initiative. |
251 ## - Source |
Source |
Journal of Vascular Surgery. 2022 Nov 15 |
252 ## - Abbreviated Source |
Abbreviated source |
J Vasc Surg. 2022 Nov 15 |
253 ## - Journal Name |
Journal name |
Journal of vascular surgery |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2022 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2023 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Publication date |
2022 Nov 15 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
aheadofprint |
266 ## - Date added to catalog |
Date added to catalog |
2022-12-13 |
501 ## - WITH NOTE |
Local holdings |
Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006 |
520 ## - SUMMARY, ETC. |
Abstract |
CONCLUSION: These data suggest that LR anesthesia is safe and may offer advantages in reducing resource utilization for patients undergoing elective EVAR, primarily based on associations with reduced ICU care and reduced hospital stay. Given these findings, LR may prove an advantageous technique in appropriately selected patient populations. Copyright © 2022. Published by Elsevier Inc. |
520 ## - SUMMARY, ETC. |
Abstract |
METHODS: Using the Society for Vascular Surgery-Vascular Quality Initiative database, we retrospectively analyzed all patients who underwent elective EVAR from August 2003-June 2021. Patients were grouped by anesthetic type based on the level of consciousness afforded by the anesthetic: local or regional anesthesia (locoregional, or LR) versus general (GA). Primary outcomes were total postoperative hospital length-of-stay (LOS) and intensive care unit (ICU) LOS. Propensity score matching was used for risk adjustment and to analyze the primary outcomes with confirmatory analysis using logistic or linear regression, as appropriate, in single and multilevel models. Secondary outcomes were 30-day mortality, 1-year mortality, postoperative outcomes, operative time, fluoroscopy time, and reoperation rate. These were analyzed following propensity score matching as well as using logistic regression and Cox proportional hazard regression in single and multilevel models, as appropriate. |
520 ## - SUMMARY, ETC. |
Abstract |
OBJECTIVE: It has been shown local or regional anesthetic techniques are a feasible alternative to general anesthesia for endovascular aortic aneurysm repair (EVAR). However, studies to date have shown controversial findings with respect to the benefit of local/regional anesthesia in the elective setting. The objective of this study is to compare postoperative outcomes between local/regional anesthesia and general anesthesia in the setting of elective EVAR, using a large, multicenter database. |
520 ## - SUMMARY, ETC. |
Abstract |
RESULTS: 50,809 patients underwent elective EVAR from 2003-2021. Of these, 4,302 repairs used LR (8.5%) and 46,507 (91.5%) were performed under GA. After employing propensity score matching, two groups of 3,027 patients were produced. These showed no significant difference in 30-day mortality (OR: 1.22, p= 0.53), 1-year mortality (HR: 1.06, p=0.62), or any postoperative outcomes. LR was found to be significantly associated with shorter hospital stays (<=2 days) (12.5% vs 14.8%, p=0.01), decreased ICU utilization (19.3% vs 30.6%, p<0.001), decreased operative time (110.8 vs 117.3 min, p<0.001), decreased fluoroscopy time (21.0 vs 22.7 min, p<0.001), and a slight reduction in reoperation rate (1.2% vs 1.9%, p=0.02), which all remained significant following single-level and multilevel multivariate analyses accounting for hospital and physician random effects. |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION |
Department |
Vascular Surgery Integrated Residency |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Kong, Daniel |
Institution Code |
MWHC |
Program |
Vascular Surgery Integrated Residency |
Degree |
MD |
Resident year |
Resident PGY 2 |
790 ## - Authors |
All authors |
Doyle AJ, Kong DS, Kruger JL, Mix DS, Newhall KA, Stoner MC, Zottola ZR |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1016/j.jvs.2022.11.043">https://dx.doi.org/10.1016/j.jvs.2022.11.043</a> |
Public note |
https://dx.doi.org/10.1016/j.jvs.2022.11.043 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |