Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Koter, S; Cohnert, TU; Hindermayr, KB; Lindenmann, J; Brückner, M; Oswald, WK; Werkgartner, G; Wagner, D.
Increased hospital costs are associated with low skeletal muscle mass in patients undergoing elective open aortic surgery.
J Vasc Surg. 2019; 69(4):1227-1232
Doi: 10.1016/j.jvs.2018.06.224
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Koter Stephan Herwig
- Co-Autor*innen der Med Uni Graz
- Cohnert Tina Ulrike
- Lindenmann Jörg
- Oswald Wolfgang Kurt
- Wagner Doris
- Werkgartner Georg
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- Abstract:
- Low psoas muscle area is shown to be an indicator for worse postoperative outcome in patients undergoing vascular surgical. Additionally, it has been associated with longer durations of hospital stay in patients with cancer who undergo surgery and subsequently greater health care costs in Europe and the United States. We sought to evaluate this effect on hospital expenditure for patients undergoing vascular repair in a health care system with universal access. Skeletal muscle mass was assessed on preoperative abdominal computed tomography scans of patients undergoing open aortic aneurysm repair in a retrospective fashion. The skeletal muscle index (SMI) was used to define low muscle mass. Health care costs were obtained for all patients and the relationship between a low SMI and higher costs was explored using linear regression and cross-sectional analysis. We included 156 patients (81.5% male) with a median age of 72 years undergoing elective surgery for infrarenal abdominal aortic aneurysm in this analysis. The median SMI for patients with low skeletal muscle mass was 53.21 cm2/kg and for patients without, 70.07 cm2/kg. Hospital duration of stay was 2 days longer in patients with low skeletal muscle mass as compared with patients with normal (14 days vs 11 days; P = .001), as was duration of intensive care stay (3 days vs 1 day; P = .01). The median overall hospital costs were €10,460 higher for patients with a low SMI as compared with patients with a normal physical constitution (€53,739 [interquartile range, €45,007-€62,471] vs €43,279 [interquartile range, €39,509-€47,049]; P = .001). After confounder adjustment, a low SMI was associated with a 14.68% cost increase in overall hospital costs, for a cost increase of €6521. Low skeletal muscle mass is independently associated with higher hospital as well as intensive care costs in patients undergoing elective aortic aneurysm repair. Strategies to reduce this risk factor are warranted for these patients. Copyright © 2018 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Aged, 80 and over -
- Aortic Aneurysm, Abdominal - diagnostic imaging
- Aortic Aneurysm, Abdominal - economics
- Aortic Aneurysm, Abdominal - physiopathology
- Aortic Aneurysm, Abdominal - surgery
- Body Composition -
- Critical Care - economics
- Cross-Sectional Studies -
- Elective Surgical Procedures - economics
- Female -
- Health Status -
- Hospital Costs -
- Humans -
- Length of Stay - economics
- Male -
- Middle Aged -
- Postoperative Complications - economics
- Postoperative Complications - therapy
- Psoas Muscles - diagnostic imaging
- Psoas Muscles - physiopathology
- Retrospective Studies -
- Risk Factors -
- Time Factors -
- Treatment Outcome -
- Vascular Surgical Procedures - adverse effects
- Vascular Surgical Procedures - economics
- Find related publications in this database (Keywords)
- Hospital costs
- Health care costs
- Skeletal muscle mass
- Vascular surgery
- Aortic aneurysm
- Aortic surgery