{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T22:43:55Z","timestamp":1781995435710,"version":"3.54.5"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:p>\n                    Purpose: To investigate in-hospital outcomes after endovascular therapy (EVT) in patients with severe peripheral artery disease (PAD) who had a low body mass index (BMI, kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    ) compared to those with normal BMI. Materials and Methods: Using weighted data from the National Inpatient Sample (NIS) database between 2002 and 2014 and ICD-9 codes, 2614 patients were identified who were aged \u226518 years and underwent EVT for PAD in the lower limb vessels. EVT was defined as angioplasty, atherectomy, and\/or stenting. After excluding individuals with BMI &gt;24, there were 807 (31%) normal-weight (BMI 19\u201324) patients and 1807 (69%) underweight (BMI &lt;19) individuals. All patients in both groups were matched for baseline demographic and clinical characteristics and critical limb ischemia in a 1:1 propensity score matching analysis using the nearest neighbor method. Results: Propensity score matching produced 2 groups of 685 patients that differed only in the incidence of chronic lung disease, which was more frequent in low-BMI patients (p=0.04). Patients with low BMI had a higher incidence of in-hospital mortality (4.8% vs 1.2%, p&lt;0.001), major adverse cardiovascular events (composite of death, myocardial infarction, or stroke) (7.9% vs 4.1%, p=0.003), open bypass surgery (9.1% vs 6.0%, p=0.03), and infection (14.6% vs 10.5%, p=0.02) compared with the normal-BMI group. There was no significant difference in the incidence of vascular complications (p=0.31), major bleeding (p=0.17), major amputation (p=0.35), or acute kidney injury (p=0.09) between the low- and normal-BMI groups. Conclusion: Low-BMI patients with PAD have worse in-hospital survival and more adverse outcomes after EVT.\n                  <\/jats:p>","DOI":"10.1177\/1526602819839046","type":"journal-article","created":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T07:17:16Z","timestamp":1554103036000},"page":"411-417","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Association Between Underweight Body Mass Index and In-Hospital Outcome in Patients Undergoing Endovascular Interventions for Peripheral Artery Disease: A Propensity Score Matching Analysis"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4403-0941","authenticated-orcid":false,"given":"Homam","family":"Moussa Pacha","sequence":"first","affiliation":[{"name":"MedStar Washington Hospital Center, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasser","family":"Al-khadra","sequence":"additional","affiliation":[{"name":"Cleveland Clinic, Medicine Institute, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahed","family":"Darmoch","sequence":"additional","affiliation":[{"name":"Cleveland Clinic, Medicine Institute, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad","family":"Soud","sequence":"additional","affiliation":[{"name":"MedStar Washington Hospital Center, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Kaki","sequence":"additional","affiliation":[{"name":"St John Hospital and Medical Center, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamas A.","family":"Mamas","sequence":"additional","affiliation":[{"name":"Keele Cardiovascular Group, Centre for Prognosis Research, Institute of Primary Care and Health Sciences, Keele University, Stoke-on-Trent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7874-4566","authenticated-orcid":false,"given":"M. Chadi","family":"Alraies","sequence":"additional","affiliation":[{"name":"Wayne State University, Detroit Medical Center Heart Hospital, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,4,1]]},"reference":[{"key":"bibr1-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2006.12.010"},{"key":"bibr2-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61249-0"},{"key":"bibr3-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X13493825"},{"key":"bibr4-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1507631"},{"key":"bibr5-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V12122838"},{"key":"bibr6-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30175-1"},{"key":"bibr7-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1111\/1755-5922.12232"},{"key":"bibr8-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001998"},{"key":"bibr9-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2012.07.041"},{"key":"bibr10-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(99)70056-5"},{"key":"bibr11-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26377"},{"key":"bibr12-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1177\/0003319717736627"},{"key":"bibr13-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2014.10.014"},{"key":"bibr14-1526602819839046","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-0418"},{"key":"bibr15-1526602819839046","unstructured":"Overview of the National (Nationwide) Inpatient Sample (NIS). https:\/\/www.hcup-us.ahrq.gov\/nisoverview.jsp. 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