{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:55:14Z","timestamp":1777942514214,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2016,4,21]],"date-time":"2016-04-21T00:00:00Z","timestamp":1461196800000},"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":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Literature on postoperative outcomes following aortic surgery for aortic graft infection (AGI) is limited by relatively small sample sizes, resulting in lack of national benchmarks for quality of care. We report in-hospital outcomes following abdominal aortic surgery for AGI and identify factors associated with postoperative complications using the Nationwide Inpatient Sample (NIS) database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients who underwent aortic graft resection for AGI were identified from the 2002 to 2008 NIS database, a multicenter database capturing 20% of all US admissions. Multivariable logistic regression analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 394 patients (men: 73.4%) who underwent abdominal aortic surgery for AGI, 53% of the admissions were emergent\/urgent. A significant trend for decreasing number of abdominal aortic surgery for AGIs per year was observed (Pearson r correlation: \u2212.96; P = .0006). Over the same time span, a significant correlation was also seen with decrease in open and increase in endovascular aortic aneurysm repairs in the NIS database. In-hospital rates of overall postoperative morbidity and mortality were 68.3% and 19.8%, respectively. In-hospital rates of postoperative respiratory failure, renal failure, and cardiac arrest were 35.5%, 14.2%, and 8.9%, respectively. Median length of stay was 26 days, with median hospital charges being US$184 162. On multivariable analysis, increase in age per year (odds ratio [OR] 1.07; 95% confidence interval [CI]: 1.03-1.12) was independently associated with postoperative morbidity, while higher hospital volume for this procedure was protective (OR: 0.71; 95% CI: 0.56-0.89). No preoperative factors were independently associated with postoperative mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Incidence of abdominal aortic surgery for AGI has progressively declined over the span of our study in association with decreased open and increased endovascular aortic aneurysm repairs. Aortic surgery for AGI is associated with very high morbidity and mortality rates along with prolonged lengths of stay and elevated hospital charges. The outcomes of operations for AGI are better in younger patients and higher volume hospitals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1538574416637443","type":"journal-article","created":{"date-parts":[[2016,4,21]],"date-time":"2016-04-21T22:24:17Z","timestamp":1461277457000},"page":"256-260","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Outcomes of Aortic Surgery for Abdominal Aortic Graft Infections"],"prefix":"10.1177","volume":"50","author":[{"given":"Prateek K.","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"},{"name":"Department of Surgery, Methodist Le Bonheur Healthcare, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bala","family":"Ramanan","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonid","family":"Grossman","sequence":"additional","affiliation":[{"name":"Departments of Surgery, University of Nebraska Medical Center, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Himani","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Medicine, William S. Middleton Memorial Veterans Hospital, Madison, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiang","family":"Fang","sequence":"additional","affiliation":[{"name":"Biostatistical Core, Creighton University, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason N.","family":"MacTaggart","sequence":"additional","affiliation":[{"name":"Departments of Surgery, University of Nebraska Medical Center, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas G.","family":"Lynch","sequence":"additional","affiliation":[{"name":"Veterans Health Administration, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. Timothy","family":"Baxter","sequence":"additional","affiliation":[{"name":"Departments of Surgery, University of Nebraska Medical Center, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iraklis I.","family":"Pipinos","sequence":"additional","affiliation":[{"name":"Departments of Surgery, University of Nebraska Medical Center, Omaha, NE, USA"},{"name":"Department of Surgery, VA Nebraska-Western Iowa Health Care System, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,4,21]]},"reference":[{"key":"bibr1-1538574416637443","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.12.067"},{"key":"bibr2-1538574416637443","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2011.10.008"},{"key":"bibr3-1538574416637443","doi-asserted-by":"publisher","DOI":"10.1177\/153857440403800110"},{"issue":"1","key":"bibr4-1538574416637443","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1177\/153857440403800110","volume":"38","author":"Setacci C","year":"2004","journal-title":"Vasc Endovascular Surg"},{"key":"bibr5-1538574416637443","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.09.078"},{"key":"bibr6-1538574416637443","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.09.067"},{"key":"bibr7-1538574416637443","unstructured":"Healthcare Cost Utilization Project, Nationwide Inpatient Sample (NIS) Agency for Healthcare Research and Quality. 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