Methods: A retrospective review of a prospectively collated database was performed. Patients undergoing elective aneurysm repair at S3I-201 inhibitor the age of 65 years or younger between January 2000 and September 2010 were included. All EVAR patients were followed up in a nurse-led clinic. Data regarding long-term outcomes for patients undergoing open repair were gathered from case note review.
Results: There were 99 patients who underwent open repair and 59 patients who underwent endovascular repair. Groups were well matched in terms of demographics and co-morbidities.
30-day mortality was 1% after open repair. There were no perioperative deaths after endovascular repair. Overall, 30-day complication rates were 15% after open repair and 12% after EVAR. The nature of complications differed between the two groups with the EVAR group experiencing endoleaks and the OAR group demonstrating more cardiorespiratory complications.
Mean follow-up was 75.5 months and there was a 14% reintervention rate after EVAR compared with 7% after OAR.
Conclusion: Young patients are likely to have a lower procedural risk for EVAR and OAR than described in published figures. Although mortality and complication rates in these two groups were similar, the nature of complications occurring following open surgery were often more significant than those occurring after EVAR. There remains a risk of late reintervention following either form of repair. (C) 2013 Published by Elsevier Ltd on behalf of European Society for Vascular Surgery.”
“To explore whether variations in the EQ-5D, Health Utilities Index (HUI) Mark II (HUI2), and
learn more HUI Mark III (HUI3) index scores were associated with the survey language (Spanish vs. English) in the US Valuation of the EQ-5D Health States study.
The EQ-5D, HUI2, and HUI3 index scores were compared across three language/ethnic groups (i.e., non-Hispanics surveyed in English [NHE], Hispanics surveyed in English [HE], and Hispanics surveyed in Spanish [HS]) using multiple regression selleck chemical models.
Of the 4,033 respondents, 568 elected to be surveyed in Spanish. After controlling for socioeconomic and health-related variables, the mean difference (standard error) in EQ-5D, HUI2, and HUI3 index scores between HS and NHE were 0.014 (0.011), 0.050 (0.012), and 0.071 (0.020), respectively. After controlling for potential confounding variables, HS were less likely than NHE to report problems/disabilities in HUI2/3 health attributes of vision, speech, self-care, emotion, pain, and cognition (range of odds ratios: 0.31-0.45, P < 0.01 for all). No important differences were found in EQ-5D dimensions between any groups or in any of the index scores between HE and NHE.
Health researchers studying health status of culturally diverse populations should be aware that different preference-based health indices may lead to different results.