Regional Variation in Postoperative Myocardial Infarction in Patients Undergoing Vascular Surgery in the United States.

ABSTRACT:

Background

The aim of this study is to assess for regional variation in the incidence of postoperative myocardial infarction (POMI) following nonemergent vascular surgery across the United States to identify potential areas for quality improvement initiatives.

Methods

We evaluated POMI rates across 17 regional Vascular Quality Initiative (VQI) groups that comprised 243 centers with 1,343 surgeons who performed 75,057 vascular operations from 2010 to 2014. Four procedures were included in the analysis: carotid endarterectomy (CEA, n = 39,118), endovascular abdominal aortic aneurysm (AAA) repair (EVAR, n = 15,106), infrainguinal bypass (INFRA, n = 17,176), and open infrarenal AAA repair (OAAA, n = 3,657). POMI was categorized by the method of diagnosis as troponin-only or clin

SUBMITTER: Steely AM 

PROVIDER: S-EPMC5960979 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature