Hospital complications and costs of spinal arteriovenous malformations in the United States from 2002-2014

Yue, John K.; Deng, Hansen; Winkler, Ethan A.; Ordaz, Angel; Gillis-Buck, Eva Mae; Lee, Young M.; Safaee, Michael; Abla, Adib A.; Huang, Michael C.; Dhall, Sanjay S.

doi:10.23736/s0390-5616.18.04552-6

Cited by 3 publications

(1 citation statement)

References 32 publications

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“…For example, using data from the National Inpatient Sample, which was a publicly available all-payer inpatient healthcare database designed to produce US regional and national estimates of inpatient utilisation, access, charges, quality and outcomes, Yue and colleagues evaluated the hospital complications and costs specific to spinal AVMs associated with laminectomy (open surgery) and embolisation (percutaneous procedure) in the US from 2002 to 2014; the complications from the former being more costly than the latter. 15 Therefore, understanding the trends of percutaenous procedures and open surgery for peripheral AVMs, as reported in this study, would clearly help healthcare resource planning.…”

Section: Discussionmentioning

confidence: 82%

The trend of percutaneous and open surgical procedures for peripheral arteriovenous malformations in the National Health Service England

Arasakumar

Brookes

Hamilton

et al. 2022

annals

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Introduction This study aimed to assess the trend of percutaneous and open surgical procedures for peripheral arteriovenous malformations (AVMs) performed in NHS hospitals in England between 2012 and 2018. Methods Hospital Episode Statistics (HES) is a freely available data warehouse that represents the whole population of England served by the NHS. Data from the HES database was obtained and analysed for all hospital episodes between 2012 and 2018 for the total number and trend of ‘primary diagnosis’, and ‘primary procedures and interventions’ identified for peripheral AVMs. Results Over the period studied, there was an increase in the total number of admissions for peripheral AVMs; total primary diagnosis increased from 2242 to 2857 per year. Open surgery remained more commonly performed than percutaneous procedures throughout the studied period. However, the overall percentage of primary procedures and interventions being percutaneous in this period increased from 29.8% to 41.0% per year. The increase in the number of percutaneous procedures per year seemed to occur in both children (from 43 to 124) and adults (from 408 to 492) over the course of the study period. Conclusions This study concluded that open surgery remained the most commonly performed primary procedure for peripheral AVMs, although there was an increasing trend for percutaneous procedures in NHS hospitals in England. The increase in the number and percentage of percutaneous procedures for peripheral AVMs was likely to have significant resource implications for the provision of care for patients with peripheral AVMs in NHS hospitals.

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Section: Discussionmentioning

confidence: 82%