Table 3.
Clinical Presentations and Operative Parameters of Patients Age < 65 Years Undergoing Thoracic Aortic Operation Stratified by Insurance Statusa
| Variable | Private Insurance (n = 20 854; 73.0%) |
Medicare (n = 1 837; 6.4%) |
Medicaid (n = 1 822; 6.4%) |
Other Insurance (n = 1 085; 3.8%) |
None/ Self-Pay (n = 2 951; 10.3%) |
|---|---|---|---|---|---|
| Procedure Status - Elective |
64.4 | 50.3 | 47.2 | 55.1 | 26.8 |
| - Urgent | 18.6 | 29.9 | 30.0 | 23.7 | 28.2 |
| - Emergent | 17.0 | 19.8 | 22.8 | 21.2 | 45.0 |
| Urgent Reason - Valve dysfunction |
32.9 | 34.6 | 31.4 | 28.0 | 35.6 |
| - Aortic dissection | 23.2 | 27.5 | 31.3 | 31.5 | 35.5 |
| - Anatomy | 25.1 | 17.5 | 21.6 | 21.0 | 20.7 |
| - Congestive heart failure | 11.1 | 11.8 | 11.2 | 11.3 | 10.8 |
| Emergent Reason - Aortic dissection |
94.5 | 90.3 | 92.1 | 95.4 | 95.2 |
| - Shock | 1.5 | 2.3 | 1.7 | 2.3 | 1.5 |
| - Valve dysfunction | 2.2 | 4.0 | 4.4 | 1.8 | 1.4 |
| Segments of aorta involved - Root |
50.3 | 44.9 | 42.6 | 46.9 | 38.9 |
| - Ascending aorta | 77.7 | 65.9 | 68.8 | 71.2 | 75.7 |
| - Arch | 20.4 | 20.2 | 19.9 | 21.7 | 24.9 |
| - Descending aorta | 6.2 | 9.7 | 11.1 | 9.6 | 11.0 |
| - Thoracoabdominal aorta | 2.9 | 7.0 | 5.4 | 2.9 | 4.3 |
| Concomitant CABG | 15.5 | 18.8 | 12.4 | 15.1 | 13.2 |
| Concomitant aortic valve procedure | 26.1 | 22.4 | 23.9 | 24.3 | 25.7 |
| Concomitant mitral valve procedure | 4.1 | 6.9 | 5.4 | 4.6 | 3.3 |
| Cardiopulmonary bypass time | 179.0 (80.1) | 193.6 (85.0) | 190.8 (84.0) | 192.0 (92.3) | 189.6 (85.4) |
| Cross-clamp time | 126.3 (59.4) | 131.2 (64.0) | 129.3 (64.3) | 131.0 (66.4) | 122.7 (62.5) |
Abbreviations: CABG, coronary artery bypass grafting.
a
Data are presented as mean (standard deviation) or %.