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Factors that determine the length of stay after carotid endarterectomy represent opportunities to avoid financial losses  Julia Glaser, MD, David Kuwayama,

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Presentation on theme: "Factors that determine the length of stay after carotid endarterectomy represent opportunities to avoid financial losses  Julia Glaser, MD, David Kuwayama,"— Presentation transcript:

1 Factors that determine the length of stay after carotid endarterectomy represent opportunities to avoid financial losses  Julia Glaser, MD, David Kuwayama, MD, David Stone, MD, Andres Schanzer, MD, MPH, Jens Eldrup-Jorgensen, MD, Richard Powell, MD, Andrew Stanley, MD, Brian Nolan, MD, MS  Journal of Vascular Surgery  Volume 60, Issue 4, Pages e1 (October 2014) DOI: /j.jvs Copyright © 2014 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Costs and payment received by Dartmouth Hitchcock Medical Center for carotid endarterectomy (CEA). Cost exceeds payment for length of stay (LOS) >1 day. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Flow chart shows derivation of study cohort. Some patients met multiple exclusion criteria. CABG, Coronary artery bypass grafting; LOS, length of stay. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Distribution of length of stay (LOS) in the study cohort.
Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Rates of observed vs expected length of stay (LOS) >1 day by center. *Significant difference between the observed and expected proportions. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Knaus-Wagner chi-pie analysis was performed to determine the relative contributions of each predictive factor to the overall prolonged length of stay (LOS). Complications accounted for the largest proportion of prolonged LOS, with system and patient characteristics accounting for less of the prolonged LOS. CEA, Carotid endarterectomy; CHF, congestive heart failure; COPD, chronic obstructive pulmonary disease; IV, intravenous; MAE, major adverse event. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

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