PMA is independently associated with all-cause mortality after elective endovascular and open aortic aneurysm repair, and may be integrated into the pre-operative risk assessment to optimize care in high-risk frail patients.
a questionnaire was distributed to all Ontario acute care hospitals. The survey was closed in December 2014. Hospitals were asked to report their 2013-2014 case volumes.Results: Of 121 acute care hospitals in Ontario, 99 (82%) responded to the survey, revealing variability in the provision of vascular care, infrastructure, and access to care. Twenty-seven hospitals performed at least one core procedure (open aortic aneurysm [AA] repair, carotid endarterectomy, or lower extremity [LE] revascularization), the majority of which were performed by vascular surgeons or interventional radiologists. Of the 17 hospitals with a noninvasive vascular laboratory, 6 (35.3%) are accredited. Of the 25 hospitals reporting annual, elective, infrarenal AA repair volumes, 6 (24%) performed <10 open AA repairs and 4 (16%) performed >50; 11 (44%) performed <10 endovascular AA repairs and 9 (36%) performed >50. Of the 23 hospitals reporting annual carotid endarterectomy volumes, 3 (13%) performed <10 and 11 (47.8%) performed >50. Of the hospitals performing LE bypass procedures, 46% reported annual case volumes >50, and 62% performing percutaneous LE interventions reported the same. Uninterrupted 24/7 emergency care provision was provided by 83% of hospitals.Conclusions: In Ontario, variability exists in the provision of hospitalbased vascular care, the supporting infrastructure, and patient access. In response, a Program Framework for Acute Care Vascular Services was proposed in August 2015 that includes three distinct and coordinated levels of hospital-based vascular programs with specific procedure complexities, case volume requirements, emergency coverage obligations, and human resource and infrastructure requirements.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.