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Peer-reviewedCC BYJournal of Investigative Surgery

In-Hospital Outcomes and Mortality After Revascularization for Chronic Mesenteric Ischemia by Maintenance Dialysis Status: A National Inpatient Sample Analysis, 2006–2020

  • Chia-Wen Kuo1
  • Li-Chien Chang1
  • Chun‐Cheng Liao2
  • Deng-Ho Yang2
  1. 1Division of Nephrology, Department of Internal Medicine, Taichung Armed Forces General Hospital, Taichung, Taiwan
  2. 2School of Medicine, National Defense Medical University, Taipei, Taiwan
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Abstract

Introduction Evidence on in-hospital outcomes after chronic mesenteric ischemia (CMI) revascularization in patients receiving maintenance dialysis is limited.Methods We analyzed adult CMI-coded hospitalizations undergoing endovascular or open revascularization in the 2006–2020 National Inpatient Sample. Hospitalizations with and without maintenance dialysis were compared using 1:2 propensity score matching and survey-weighted multivariable regression.Results Of 7,962 eligible hospitalizations, 411 (5.2% of the unweighted sample) involved maintenance dialysis. Maintenance dialysis was associated with higher adjusted odds of in-hospital mortality (aOR 1.96), non-routine discharge (aOR 1.46), prolonged hospitalization (aOR 1.41), transfusion (aOR 1.43), sepsis (aOR 1.88), pneumonia (aOR 1.69), multiorgan failure or shock (aOR 1.80), and venous thromboembolism (aOR 2.06). Hospital charges were also higher (adjusted beta USD 17,497), whereas urinary tract infection odds were lower (aOR 0.68).Discussion Maintenance dialysis was associated with greater in-hospital morbidity and mortality among CMI-coded revascularization hospitalizations. The inability to distinguish stable from acute-on-chronic CMI limits interpretation as an elective cohort. Findings support individualized perioperative assessment without establishing causation or optimal treatment timing.

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Cite

BibTeXRIS
BibTeX
@article{kuo2026inhospital,
  title = {{In-Hospital Outcomes and Mortality After Revascularization for Chronic Mesenteric Ischemia by Maintenance Dialysis Status: A National Inpatient Sample Analysis, 2006–2020}},
  author = {Chia-Wen Kuo and Li-Chien Chang and Chun‐Cheng Liao and Deng-Ho Yang},
  journal = {Journal of Investigative Surgery},
  year = {2026},
  month = oct,
  doi = {10.1080/08941939.2026.2748718},
  url = {https://doi.org/10.1080/08941939.2026.2748718},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - In-Hospital Outcomes and Mortality After Revascularization for Chronic Mesenteric Ischemia by Maintenance Dialysis Status: A National Inpatient Sample Analysis, 2006–2020
AU  - Chia-Wen Kuo
AU  - Li-Chien Chang
AU  - Chun‐Cheng Liao
AU  - Deng-Ho Yang
PY  - 2026
DA  - 2026/10/31
JO  - Journal of Investigative Surgery
DO  - 10.1080/08941939.2026.2748718
UR  - https://doi.org/10.1080/08941939.2026.2748718
AB  - Introduction Evidence on in-hospital outcomes after chronic mesenteric ischemia (CMI) revascularization in patients receiving maintenance dialysis is limited.Methods We analyzed adult CMI-coded hospitalizations undergoing endovascular or open revascularization in the 2006–2020 National Inpatient Sample. Hospitalizations with and without maintenance dialysis were compared using 1:2 propensity score matching and survey-weighted multivariable regression.Results Of 7,962 eligible hospitalizations, 411 (5.2% of the unweighted sample) involved maintenance dialysis. Maintenance dialysis was associated with higher adjusted odds of in-hospital mortality (aOR 1.96), non-routine discharge (aOR 1.46), prolonged hospitalization (aOR 1.41), transfusion (aOR 1.43), sepsis (aOR 1.88), pneumonia (aOR 1.69), multiorgan failure or shock (aOR 1.80), and venous thromboembolism (aOR 2.06). Hospital charges were also higher (adjusted beta USD 17,497), whereas urinary tract infection odds were lower (aOR 0.68).Discussion Maintenance dialysis was associated with greater in-hospital morbidity and mortality among CMI-coded revascularization hospitalizations. The inability to distinguish stable from acute-on-chronic CMI limits interpretation as an elective cohort. Findings support individualized perioperative assessment without establishing causation or optimal treatment timing.
SN  - 1521-0553
SN  - 0894-1939
ER  -