Predicting XXXX after vascular surgical procedures.

@entity1 @entity101 @entity6 @entity190 @entity73 @entity260 @entity933
OBJECTIVE: The objective of this study was to determine the incidence of and specific preoperative and intraoperative risk factors for @entity260 ( @entity260 ) in electively treated vascular surgery @entity1 . METHODS: Between March 2010 and November 2013, all vascular surgery @entity1 were included in a prospective database. Various preoperative, intraoperative, and postoperative risk factors were collected during hospitalization. The primary outcome variable was the incidence of @entity260 . Secondary outcome variables were any surgical complication, hospital length of stay, and mortality. RESULTS: In total, 566 @entity1 were prospectively evaluated; 463 @entity1 were 60  years or older at the time of surgery and formed our study cohort. The median age was 72  years (interquartile range, 66-77), and 76.9% were male. Twenty-two @entity1 (4.8%) developed @entity260 . Factors that differed significantly by univariate analysis included current smoking (P  = .001), increased comorbidity (P  = .001), @entity101 (P  = .003), @entity6 (P  = .001), @entity73 (P  < .001), open aortic surgery or amputation surgery (P  < .001), elevated C-reactive protein level (P  < .001), and @entity190 (P  < .001). Multivariate logistic regression analysis revealed preoperative @entity73 (odds ratio [OR], 16.4; 95% confidence interval [CI], 4.7-57.0), open aortic surgery or amputation surgery (OR, 14.0; 95% CI, 3.9-49.8), current smoking (OR, 10.5; 95% CI, 2.8-40.2), @entity101 (OR, 7.6; 95% CI, 1.9-30.5) and age >= 80  years (OR, 7.3; 95% CI, 1.8-30.1) to be independent predictors of the occurrence of @entity260 . The combination of these parameters allows us to predict @entity933 with a sensitivity of 86% and a specificity of 92%. The area under the curve of the corresponding receiver operating characteristics was 0.93. @entity933 was associated with longer hospital length of stay (P  < .001), more frequent and increased intensive care unit stays (P  = .008 and P  = .003, respectively), more surgical complications (P  < .001), more postdischarge institutionalization (P  < .001), and higher 1-year mortality rates (P  = .0026). CONCLUSIONS: In vascular surgery @entity1 , preoperative @entity73 and open aortic or amputation surgery were highly significant risk factors for the occurrence of @entity260 . In addition, @entity260 was significantly associated with a higher mortality and more institutionalization. @entity1 with these risk factors should be considered for high-standard @entity933 care to improve these outcomes.
