Risk for nonelective thoracic aortic sx up for uninsured

April 16, 2014
Risk for nonelective thoracic aortic sx up for uninsured

(HealthDay)—Uninsured patients have an increased risk of nonelective thoracic aortic operations, and have increased risks of major morbidity or mortality, according to a study published online April 8 in Circulation: Cardiovascular Quality and Outcomes.

Nicholas D. Andersen, M.D., from the Duke University Medical Center in Durham, N.C., and colleagues conducted an observational study to examine whether are more likely to require nonelective thoracic aortic operation. A total of 51,282 patients who underwent thoracic aortic surgery from 2007 to 2011 were identified from the Society of Thoracic Surgeons Database and were stratified according to and age.

The researchers found that the need for nonelective thoracic aortic operation was lowest for privately insured patients (36.6 percent) and highest for uninsured patients (71.7 percent). Compared with patients with , the adjusted risks of nonelective operation were elevated for uninsured patients (adjusted risk ratios, 1.77 and 1.46 for those aged younger than 65 years and aged 65 years and older, respectively), and for Medicaid patients aged younger than 65 years (adjusted risk ratio, 1.18). For all patients aged younger than 65 years without private insurance, the adjusted odds of major morbidity and mortality were increased (adjusted risk ratios, 1.13 to 1.27, respectively).

"Insurance status was associated with acuity of presentation and major morbidity and mortality for thoracic aortic operations," the authors write. "Efforts to reduce insurance-based disparities in the care of with seem warranted and may reduce the incidence of aortic emergencies and improve outcomes after thoracic aortic surgery."

Explore further: Repeat sternotomy for aortic valve replacement safe option for octogenarian patients

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Repeat sternotomy for aortic valve replacement safe option for octogenarian patients

March 26, 2014
Surgical aortic valve replacement generally improves patients' symptoms and prolongs survival. However, the perceived risk of surgical aortic valve replacement in patients over 80 may result in surgery being denied or a recommendation ...

Conserving blood cuts transfusions in aortic valve surgery

January 7, 2014
(HealthDay)—A blood conservation strategy (BCS) reduces red blood cell (RBC) transfusions in patients undergoing aortic valve replacement (AVR) without increasing mortality or morbidity, according to research published ...

Transcatheter valve implantation benefits even very elderly

January 10, 2014
(HealthDay)—Transcatheter aortic valve implantation is associated with acceptable clinical outcomes, even among very elderly patients, according to a study published in the January issue of the Annals of Thoracic Surgery.

Higher acute aortic dissection risk with lower-volume care

May 13, 2013
(HealthDay)—The mortality risk from emergency repair of acute aortic dissection is double when performed by lower-volume providers, according to research published in the May issue of the Annals of Thoracic Surgery.

Availability of transcatheter repair of aortic stenosis benefits patients

January 30, 2014
The introduction of minimally invasive transcatheter aortic valve replacement (TAVR) for treatment of aortic stenos not only has increased the number of patients eligible for aortic valve replacement (AVR), but also has led ...

New custom-designed treatment option for high-risk aortic aneurysms

April 1, 2014
Vascular surgeons at NewYork-Presbyterian/Weill Cornell Medical Center are investigating the use of custom-designed stent grafts for the treatment of thoracoabdominal aortic aneurysms—a potentially deadly enlargement of ...

Recommended for you

Biomechanical mapping method aids development of therapies for damaged heart tissue

January 23, 2018
Researchers have developed a new way to capture the detailed biomechanical properties of heart tissue. The high-resolution optical technique fills an important technology gap necessary to develop and test therapies that might ...

Researchers borrow from AIDS playbook to tackle rheumatic heart disease

January 22, 2018
Billions of US taxpayer dollars have been invested in Africa over the past 15 years to improve care for millions suffering from the HIV/AIDS epidemic; yet health systems on the continent continue to struggle. What if the ...

A nanoparticle inhalant for treating heart disease

January 18, 2018
A team of researchers from Italy and Germany has developed a nanoparticle inhalant for treating people suffering from heart disease. In their paper published in the journal Science Translational Medicine, the group describes ...

Starting periods before age of 12 linked to heightened risk of heart disease and stroke

January 15, 2018
Starting periods early—before the age of 12—is linked to a heightened risk of heart disease and stroke in later life, suggests an analysis of data from the UK Biobank study, published online in the journal Heart.

'Decorated' stem cells could offer targeted heart repair

January 10, 2018
Although cardiac stem cell therapy is a promising treatment for heart attack patients, directing the cells to the site of an injury - and getting them to stay there - remains challenging. In a new pilot study using an animal ...

Exercise is good for the heart, high blood pressure is bad—researchers find out why

January 10, 2018
When the heart is put under stress during exercise, it is considered healthy. Yet stress due to high blood pressure is bad for the heart. Why? And is this always the case? Researchers of the German Centre for Cardiovascular ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.