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Endovascular aneurysm repair is associated with less malnutrition than open abdominal aortic aneurysm repair.

Publication ,  Journal Article
Chaar, CIO; Fitzgerald, TN; Dewan, M; Huddle, M; Schlosser, FJ; Perkal, M; Muhs, BE; Dardik, A
Published in: Am J Surg
November 2009

BACKGROUND: Patients undergoing abdominal aortic aneurysm (AAA) repair have high rates of postoperative malnutrition. We examined whether endovascular aneurysm repair (EVAR) is associated with reduced postoperative malnutrition compared with open AAA repair. METHODS: The records of patients undergoing AAA repair in the Veterans Affairs (VA) Connecticut Healthcare System were reviewed. Primary outcomes were 30-day morbidity, lengths of hospitalization and intensive care unit stay, duration of intubation, and nutritional risk index scores. RESULTS: Sixty-two patients were included (open repair, 37; EVAR, 25). Nutritional parameters were comparable between groups before surgery. Patients treated with EVAR had improved postoperative nutritional profiles as determined by albumin level (3.7 +/- .08 vs 3.2 +/- .12; P = .003), and nutritional risk index (97.9 +/- 1.3 vs 88.9 +/- 1.8; P = .0006), compared with patients treated with open repair. CONCLUSIONS: Patients undergoing EVAR developed significantly less postoperative malnutrition compared with those having open repair. EVAR may be a strategy to avoid malnutrition and improve outcomes in patients at risk for malnutrition after undergoing AAA repair.

Duke Scholars

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

November 2009

Volume

198

Issue

5

Start / End Page

623 / 627

Location

United States

Related Subject Headings

  • Surgery
  • Retrospective Studies
  • Postoperative Complications
  • Parenteral Nutrition
  • Nutritional Status
  • Nutrition Assessment
  • Minimally Invasive Surgical Procedures
  • Malnutrition
  • Logistic Models
  • Length of Stay
 

Citation

APA
Chicago
ICMJE
MLA
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Chaar, C. I. O., Fitzgerald, T. N., Dewan, M., Huddle, M., Schlosser, F. J., Perkal, M., … Dardik, A. (2009). Endovascular aneurysm repair is associated with less malnutrition than open abdominal aortic aneurysm repair. Am J Surg, 198(5), 623–627. https://doi.org/10.1016/j.amjsurg.2009.07.022
Chaar, Cassius Iyad Ochoa, Tamara N. Fitzgerald, Michael Dewan, Matthew Huddle, Felix J. Schlosser, Melissa Perkal, Bart E. Muhs, and Alan Dardik. “Endovascular aneurysm repair is associated with less malnutrition than open abdominal aortic aneurysm repair.Am J Surg 198, no. 5 (November 2009): 623–27. https://doi.org/10.1016/j.amjsurg.2009.07.022.
Chaar CIO, Fitzgerald TN, Dewan M, Huddle M, Schlosser FJ, Perkal M, et al. Endovascular aneurysm repair is associated with less malnutrition than open abdominal aortic aneurysm repair. Am J Surg. 2009 Nov;198(5):623–7.
Chaar, Cassius Iyad Ochoa, et al. “Endovascular aneurysm repair is associated with less malnutrition than open abdominal aortic aneurysm repair.Am J Surg, vol. 198, no. 5, Nov. 2009, pp. 623–27. Pubmed, doi:10.1016/j.amjsurg.2009.07.022.
Chaar CIO, Fitzgerald TN, Dewan M, Huddle M, Schlosser FJ, Perkal M, Muhs BE, Dardik A. Endovascular aneurysm repair is associated with less malnutrition than open abdominal aortic aneurysm repair. Am J Surg. 2009 Nov;198(5):623–627.
Journal cover image

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

November 2009

Volume

198

Issue

5

Start / End Page

623 / 627

Location

United States

Related Subject Headings

  • Surgery
  • Retrospective Studies
  • Postoperative Complications
  • Parenteral Nutrition
  • Nutritional Status
  • Nutrition Assessment
  • Minimally Invasive Surgical Procedures
  • Malnutrition
  • Logistic Models
  • Length of Stay