干旱区生态环境知识资源中心(Arid): Living in a Food Desert is Associated with 30-day Readmission after Revascularization for Chronic Limb-Threatening Ischemia

Arid

DOI	10.1016/j.avsg.2020.06.052
	Living in a Food Desert is Associated with 30-day Readmission after Revascularization for Chronic Limb-Threatening Ischemia
	Smith, Eric J. T.; Ramirez, Joel L.; Wu, Bian; Zarkowsky, Devin S.; Gasper, Warren J.; Finlayson, Emily; Conte, Michael S.; Iannuzzi, James C.
通讯作者	Iannuzzi, JC (corresponding author), Univ Calif San Francisco, Dept Surg, Div Vasc & Endovasc Surg, 400 Parnassus Ave,A-581, San Francisco, CA 94143 USA.
会议名称	44th Annual Winter Meeting of the Vascular-and-Endovascular-Surgery-Society (VESS)
会议日期	JAN 30-FEB 02, 2020
会议地点	Steamboat Springs, CO
英文摘要	Background: Living in a food desert has been associated with increased cardiovascular risk; however, its impact on vascular surgery outcomes is unknown. This study hypothesized that living in a food desert would be associated with increased postoperative complications in patients undergoing revascularization for chronic limb-threatening ischemia (CLTI). Methods: This was a single-center retrospective analysis of open and endovascular infrainguinal revascularization for CLTI between April 2013 and December 2015. A food desert was defined using the US Department of Agriculture's Food Access Research Atlas. Bivariate analyses were performed appropriate to the data. Binary logistic regression was performed assessing the association of food desert status with 30-day postoperative complications. Results: In total, 152 cases were included, of which 17% (n = 26) resided in food deserts. Patients in the food desert cohort were less likely to be low income (27% vs. 54%, P = 0.01). Living in a food desert was associated with increased 30-day readmission [(39% vs. 20%, P = 0.04), unadjusted OR: 2.5 (CI: 1.0-6.2)]. FD cases also had a higher proportion of wound complications [12 (46%) vs. 28 (22%), P = 0.01)]. The overall wound complication rate was 27% with the majority being due to infections (63%). On multivariable analysis, food desert status remained associated with increased odds of 30-day readmission (OR: 2.7, CI: 1.2-8.4, P = 0.047). Reasons for readmission in the food desert group were all due to wound complications (100% vs. 72%, P = 0.08). Conclusions: Living in a food desert was associated with nearly three times the odds of 30-day readmission after lower extremity revascularization for CLTI. This increase in readmission may be explained through increased wound complications. These findings support considering access to healthy food as a potential modifiable risk factor for adverse outcomes, particularly in CLTI revascularization.
来源出版物	ANNALS OF VASCULAR SURGERY
ISSN	0890-5096
EISSN	1615-5947
出版年	2021
卷号	70
页码	36-42
出版者	ELSEVIER SCIENCE INC
类型	Article; Proceedings Paper
语种	英语
收录类别	CPCI-S
WOS记录号	WOS:000599833300005
WOS关键词	RISK ; AMPUTATION ; PREDICTION ; INFECTION ; TRENDS ; RACE
WOS类目	Surgery ; Peripheral Vascular Disease
WOS研究方向	Surgery ; Cardiovascular System & Cardiology
资源类型	会议论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/365614
作者单位	[Smith, Eric J. T.; Ramirez, Joel L.; Wu, Bian; Zarkowsky, Devin S.; Gasper, Warren J.; Finlayson, Emily; Conte, Michael S.; Iannuzzi, James C.] Univ Calif San Francisco, Dept Surg, San Francisco, CA USA
推荐引用方式 GB/T 7714	Smith, Eric J. T.,Ramirez, Joel L.,Wu, Bian,et al. Living in a Food Desert is Associated with 30-day Readmission after Revascularization for Chronic Limb-Threatening Ischemia[C]:ELSEVIER SCIENCE INC,2021:36-42.