ArticleAnnals of medicine and surgery (2012)2026
Impact of same-day admissions on outcomes of elective open aortic surgery for infrarenal abdominal aortic aneurysms: a single-center retrospective analysis.
Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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6 authors.
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Abstract
Background: This study aimed to investigate the impact of same-day admission (SDA) on postoperative outcomes in patients undergoing elective open aortic repair (OAR) of infrarenal abdominal aortic aneurysms (AAA) at our institution. Materials and methods: A single-center retrospective analysis of patients who underwent elective OSR from January 2017 to December 2022 was conducted. A comparative analysis of the impact of the SDA concept on procedural times, length of postoperative hospital stay, major adverse cardiovascular events (MACE), and 30-day mortality was conducted by comparing the time periods before (2017-2019) and after (2020-2022) the establishment of a routine SDA concept for patients undergoing elective OAR. Results: During the total study period, 62 patients with AAA were managed with OAR in an elective setting. Twenty-eight patients were treated before and 34 patients after the introduction of a routine SDA concept at our institution. Procedural time was reduced after the introduction of SDA compared with the time period before (193 ± 74 vs. 230 ± 55 min, Conclusions: Resource pressures in health care systems force modifications in clinical practice regarding the elective surgical treatment of aortic pathologies. In 2020, at our institution, we introduced a routine SDA concept for patients undergoing elective open abdominal surgery. Implementation of a standardized SDA pathway was associated with shorter procedure times. No statistically significant differences in MACE or 30-day mortality were observed; however, the study was not designed to exclude clinically relevant differences in safety outcomes.
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