Validation of nonhome discharge risk score after elective infrainguinal bypass surgery.

Objective: Nonhome discharge (NHD) contributes to poor patient quality of life and health care costs. Prior Vascular Study Group of New England database-based analysis developed a novel risk score for NHD after infrainguinal lower extremity bypass (LEB). Still, it has yet to be validated in an external dataset.

Early Opioid Use and Postoperative Delirium Following Open Abdominal Aortic Aneurysm Repair.

Background: Postoperative delirium is a common complication following open abdominal aortic aneurysm repair (OAR). Opioids have been found to contribute to delirium, especially at higher doses. This study assessed the impact of early postoperative opioid analgesia on postoperative delirium incidence and time to onset.

Predictors of amputation-free survival and wound healing after infrainguinal bypass with alternative conduits.

Objective: Inadequate vein quality or prior harvest precludes use of autologous single segment greater saphenous vein (ssGSV) in many patients with chronic limb-threatening ischemia (CLTI). Predictors of patient outcome after infrainguinal bypass with alternative (non-ssGSV) conduits are not well-understood. We explored whether limb presentation, bypass target, and conduit type were associated with amputation-free survival (AFS) after infrainguinal bypass using alternative conduits.

Risk factors and associated outcomes of postoperative delirium after open abdominal aortic aneurysm repair.

Objective: Open abdominal aortic aneurysm repair (OAR) is a major vascular procedure that incurs a large physiologic demand, increasing the risk for complications such as postoperative delirium (POD). We sought to characterize POD incidence, identify delirium risk factors, and evaluate the effect of delirium on postoperative outcomes. We hypothesized that POD following OAR would be associated with increased postoperative complications and resource utilization.

Clinical Predictors and Outcomes Associated with Postoperative Delirium Following Infrainguinal Bypass Surgery.

Background: Post-operative delirium (POD) is common yet often underdiagnosed following vascular surgery. Elderly patients with advanced peripheral artery disease may be at particular risk for POD yet understanding of the clinical predictors and impact of POD is incomplete. We sought to identify POD predictors and associated resource utilization after infrainguinal lower extremity bypass.