Factors that determine the length of stay after carotid endarterectomy represent opportunities to avoid financial losses

Journal of Vascular Surgery

Volumn 60, Issue 4, 2014, Pages 966-972.e1

  Glaser, Julia ^a   Kuwayama, David ^b   Stone, David ^b   Schanzer, Andres ^c   Eldrup Jorgensen, Jens ^d   Powell, Richard ^b   Stanley, Andrew ^e   Nolan, Brian ^b  

^a HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

^b DARTMOUTH HITCHCOCK MEDICAL CENTER   (United States)

^c UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^d MAINE MEDICAL CENTER   (United States)

^e FLETCHER ALLEN HEALTH CARE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADVERSE OUTCOME; AGE; AGED; ARTICLE; BLOOD PRESSURE REGULATION; CAROTID ENDARTERECTOMY; CEREBROVASCULAR ACCIDENT; CHRONIC OBSTRUCTIVE LUNG DISEASE; COHORT ANALYSIS; COMORBIDITY; CONGESTIVE HEART FAILURE; CORONARY ARTERY DISEASE; CRANIAL NERVE INJURY; DIABETES MELLITUS; ELECTIVE SURGERY; EXERCISE TEST; FEMALE; HEALTH CARE SYSTEM; HEART ARRHYTHMIA; HEART INFARCTION; HOSPITAL FINANCE; HUMAN; HYPERTENSION; HYPOTENSION; KIDNEY FAILURE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL HISTORY; NEUROLOGIC DISEASE; OXYGEN THERAPY; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; PREDICTION; REIMBURSEMENT; REPERFUSION INJURY; SEX DIFFERENCE; SURGEON; TRANSIENT ISCHEMIC ATTACK; UNITED STATES; CAROTID ARTERY DISEASES; CLINICAL TRIAL; DIAGNOSIS RELATED GROUP; ECONOMICS; FOLLOW UP; HEALTH ECONOMICS; HOSPITAL; HOSPITAL COST; MULTICENTER STUDY; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; TRENDS;

AGED; CAROTID ARTERY DISEASES; DIAGNOSIS-RELATED GROUPS; ECONOMICS, HOSPITAL; ELECTIVE SURGICAL PROCEDURES; ENDARTERECTOMY, CAROTID; FEMALE; FOLLOW-UP STUDIES; HOSPITAL COSTS; HOSPITALS; HUMANS; LENGTH OF STAY; MALE; NEW ENGLAND; POSTOPERATIVE COMPLICATIONS; POSTOPERATIVE PERIOD; RETROSPECTIVE STUDIES;

EID: 84908261023     PISSN: 07415214     EISSN: 10976809     Source Type: Journal    
DOI: 10.1016/j.jvs.2014.03.292     Document Type: Article

References (19)

1. A. Barbieri, K. Vanhaecht, P. Van Herck, W. Sermeus, F. Faggiano, and S. Marchisio Effects of clinical pathways in the joint replacement: a meta-Analysis BMC Med 7 2009 32
2. R. Kulkarni, P. Ituarte, D. Gunderson, and M. Yeh Clinical pathways improve hospital resource use in endocrine surgery J Am Coll Surg 212 2011 35 41
3. P.A. Cowper, E.R. DeLong, E.D. Peterson, E.L. Hannan, K.T. Ray, and M. Racz Variability in cost of coronary bypass surgery in New York State: potential for cost savings Am Heart J 143 2002 130 139
4. P. Taheri, D. Butz, and L. Greenfield Length of stay has minimal impact on the cost of hospital admission J Am Coll Surg 191 2000 123 130
5. A. Stephen, and D. Berger Shortened length of stay and hospital cost reduction with implementation of an accelerated clinical care pathway after elective colon resection Surgery 133 2003 277 282
6. J. Styron, S. Koroukian, A. Klika, and W. Barsoum Patient vs provider characteristics impacting hospital lengths of stay after total knee or hip arthroplasty J Arthroplasty 26 2011 1418 1426 e1-2
7. M.R. Patel, M.A. Greiner, L.D. DiMartino, K.A. Schulman, P.W. Duncan, and D.B. Matchar Geographic variation in carotid revascularization among Medicare beneficiaries, 2003-2006 Arch Intern Med 170 2010 1218 1225
8. P.E. Collier Are one-day admissions for carotid endarterectomy feasible? Am J Surg 170 1995 140 143
9. J.L. Kaufman, D. Frank, S.W. Rhee, J.A. Berman, and P. Friedmann Feasibility and safety of 1-day postoperative hospitalization for carotid endarterectomy Arch Surg 131 1996 751 755
10. Centers for Medicare & Medicaid Services. Table 5. List of Medicare severity diagnosis-related groups (MS-DRGS), relative weighting factors, and geometric and arithmetic mean length of stay - FY 2013. Available at: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY-2013-IPPS-Final-Rule-Home-Page-Items/FY2013-Final-Rule-Tables.html. Accessed December 18, 2013.
11. J.L. Cronenwett, D.S. Likosky, M.T. Russell, J. Eldrup-Jorgensen, A.C. Stanley, and B.W. Nolan A regional registry for quality assurance and improvement: the Vascular Study Group of Northern New England (VSGNNE) J Vasc Surg 46 2007 1093 1101 discussion: 1101-2
12. W.A. Knaus, D.P. Wagner, J.E. Zimmerman, and E.A. Draper Variations in mortality and length of stay in intensive care units Ann Intern Med 118 1993 753 761
13. C.M. Akbari, F.B. Pomposelli Jr., G.W. Gibbons, D.R. Campbell, D.V. Freeman, and F.W. LoGerfo Diabetes mellitus: a risk factor for carotid endarterectomy? J Vasc Surg 25 1997 1070 1075 discussion: 1075-6
14. S.P. Roddy, J.M. Estes, M.O. Kwoun, T.F. O'Donnell Jr., and W.C. Mackey Factors predicting prolonged length of stay after carotid endarterectomy J Vasc Surg 32 2000 550 554
15. K.C. Young, B.S. Jahromi, M.J. Singh, K.A. Illig, and C.G. Benesch Hospital resource use following carotid endarterectomy in 2006: analysis of the nationwide inpatient sample J Stroke Cerebrovasc Dis 19 2010 458 464
16. P.P. Goodney, T.A. Stukel, F.L. Lucas, E.V. Finlayson, and J.D. Birkmeyer Hospital volume, length of stay, and readmission rates in high-risk surgery Ann Surg 238 2003 161 167
17. J.A. Cowan Jr., J.B. Dimick, B.G. Thompson, J.C. Stanley, and G.R. Upchurch Jr. Surgeon volume as an indicator of outcomes after carotid endarterectomy: an effect independent of specialty practice and hospital volume J Am Coll Surg 195 2002 814 821
18. M. Schechter, C. Shortell, and J. Scarborough Regional versus general anesthesia for carotid endarterectomy: the American College of Surgeons National Surgical Quality Improvement Program perspective Surgery 152 2012 309 314
19. S.W. Leichtle, N.J. Mouawad, K. Welch, R. Lampman, W.M. Whitehouse Jr., and M. Heidenreich Outcomes of carotid endarterectomy under general and regional anesthesia from the American College of Surgeons' National Surgical Quality Improvement Program J Vasc Surg 56 2012 81 88.e3