Analysis of Midterm Readmissions and Related Costs after Open and Endovascular Procedures for Aorto-Iliac Occlusive Disease.

Life (Basel)

Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Vascular and Endovascular Surgery Section, University of Padova, Azienda Ospedale-Università di Padova, 35128 Padova, Italy.

Published: June 2024

AI Article Synopsis

  • The study analyzed readmission rates and costs for patients with aorto-iliac occlusive disease (AIOD) who underwent either aorto-bifemoral bypass (ABF) or covered kissing stent (CKS) procedures from May 2008 to February 2018.
  • It found that readmission rates were similar for both procedures (ABF at 16%, CKS at 18%), with the primary cause being prosthesis limb or stent occlusion.
  • Although the CKS group showed a trend toward higher readmission and treatment costs, the ABF group experienced a longer time before readmission (35 months compared to 13.5 months for CKS).

Article Abstract

Readmissions rates and costs were analysed over follow-up for patients who underwent open or endovascular procedures for aorto-iliac occlusive disease (AIOD). Patients who underwent aorto-bifemoral bypass (ABF) or covered kissing stent (CKS) for AIOD from May 2008 to February 2018 were compared in terms of readmission rates, related costs expressed in EUR, freedom from generic readmission (FFGR), and freedom from readmission for surgical reasons (FFRS). ABF had a readmission rate of 16% and CKS of 18% ( = 0.999). The most common cause of readmission was prosthesis limb or stent occlusion. Time to readmission was longer for ABF (35 months [21-82] vs. 13.5 months [1-68.7] in the CKS group, = 0.334). CKS group had higher cumulative re-hospitalisation, ICU stay, and reintervention costs (11569 ± 2216 SEM, 2405 ± 1125, 5264 ± 1230, respectively) and a trend for more readmissions in the first 36 months, without reaching significance. This study reports on a period of time exceeding ninety days. Even if not reaching significance, the CKS group presented a higher trend in readmissions till 36 months and a higher trend in readmission costs, while time-to-readmission was longer in the ABF group.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11278191PMC
http://dx.doi.org/10.3390/life14070798DOI Listing

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