Sex-based differences in loss of independence after lower extremity bypass surgery

Introduction: This study analyzes sex-based differences in the risk of discharge to a nonhome facility (loss of independence) after lower extremity revascularization and resultant outcomes. Methods: Data from the NSQIP database for years 2015-2017 was utilized to assess sex-based differences in loss of independence and associated unplanned readmission and 30-day amputation using chi-square, student t-test, and multivariate logistic regression analyses where appropriate. Results: There was increased loss of independence in women (34.9% vs. 26.1 %, p<.01) and associated increase in unplanned readmission (18.4% vs. 13.6 %, p=.01) and length of stay (12.1 days vs 6.5 days, p<.01). Endovascular revascularization was associated with decreased likelihood of loss of independence (OR 0.43, CI 0.36-0.50). Conclusion: Loss of independence after lower extremity bypass surgery affects women more than men and it is associated with worse postoperative outcomes. (C) 2021 Elsevier Inc. All rights reserved.

Automated summary

This study found that women are more likely to experience loss of independence after lower extremity revascularization, along with unplanned readmission and longer length of stay. Endovascular revascularization is associated with decreased likelihood of loss of independence.