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Participation in the Vascular Quality Initiative is associated with improved perioperative medication use, which is associated with longer patient survival 

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Presentation on theme: "Participation in the Vascular Quality Initiative is associated with improved perioperative medication use, which is associated with longer patient survival "— Presentation transcript:

1 Participation in the Vascular Quality Initiative is associated with improved perioperative medication use, which is associated with longer patient survival  Randall R. De Martino, MD, MS, Andrew W. Hoel, MD, Adam W. Beck, MD, Jens Eldrup-Jorgensen, MD, John W. Hallett, MD, Gilbert R. Upchurch, MD, Jack L. Cronenwett, MD, Philip P. Goodney, MD, MS  Journal of Vascular Surgery  Volume 61, Issue 4, Pages (April 2015) DOI: /j.jvs Copyright © 2015 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Identification of cases for analysis. AAA, Abdominal aortic aneurysm; CAS, carotid artery stenting; CEA, carotid endarterectomy; PVI, peripheral vascular intervention; TEVAR, thoracic endovascular aortic repair; VQI, Vascular Quality Initiative. *Proportion represents total urgent/emergency of all first time procedures. #Denominator is all eligible patients for analysis (elective first-time procedures). §Denominator is all patients available for perioperative analysis. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Distribution of procedures for patients undergoing vascular surgical procedures in Vascular Quality Initiative (VQI) CAS, Carotid artery stenting; CEA, carotid endarterectomy; EVAR, endovascular abdominal aortic aneurysm repair; infra, infrainguinal bypass; open AAA, open abdominal aortic aneurysm repair; PVI, peripheral vascular intervention; supra, suprainguinal bypass; TEVAR, thoracic endovascular aortic repair. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Proportion of patients in Vascular Quality Initiative (VQI) on antiplatelet (AP) and statin medications preoperatively and VQI expansion of centers, Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Proportion of patients in Vascular Quality Initiative (VQI) on antiplatelet (AP) and statin medications preoperatively by center's duration of participation in VQI. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Proportion of patients in Vascular Quality Initiative (VQI) on antiplatelet (AP) and statin medications preoperatively by center's duration of participation in VQI by procedure type. Aneurysm, Open or endovascular abdominal aortic aneurysm (AAA) or thoracic endovascular aortic repair (TEVAR); Bypass, suprainguinal or infrainguinal arterial bypass; Carotid, carotid endarterectomy or carotid artery stent; PVI, peripheral vascular intervention. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

7 Fig 6 Five-year survival by discharge medication status. AP, Antiplatelet; SE, standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions


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