Comparison of Surgeon Assessment to Frailty Measurement in Abdominal Aortic Aneurysm Repair.

ABSTRACT:

Background

Endovascular abdominal aortic aneurysm repair (EVAR) allows us to intervene on patients otherwise considered poor candidates for open repair. Despite its importance in determining operative approach, no comparison has been made between the subjective "eyeball test" and an objective measurement of preoperative frailty for EVAR patients.

Materials and methods

Patients undergoing elective EVAR were identified in the Vascular Quality Initiative (VQI) database (2003-2017). Patients were classified "unfit" based on a surgeon-reported variable. Frailty was defined using the VQI-derived Risk Analysis Index, which includes sex, age, BMI, renal failure, congestive heart failure, dyspnea, preoperative ambulation, and functional status. The association between fitness and/or

SUBMITTER: George EL 

PROVIDER: S-EPMC7643437 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature