title: [Hospital Lethality Following Lower Limbs Revascularization in the State of Rio de Janeiro, Brasil, 2006/10].
abstract: BACKGROUND
  Ischemic peripheral arterial disease is a form of presentation of systemic atherosclerosis and can be treated by angioplasty or open vascular surgery Objective: To find in-hospital lethality after revascularization according to sex, age, procedures and hospitalization conditions.
  
  
  METHODS
  The data comes from authorizations to hospitalize from The State of Rio De Janeiro´s Public Healthcare System from the years 2006/10. We performed a search using the International Code of Diseases tenth revision (ICD-10) to identify codes of revascularization by angioplasty or open vascular surgery. The statistical analysis was done with Stata Program of statistics.
  
  
  RESULTS
  The procedures were performed in 41 hospitals, public, private and university medical facilities. We identified 1558 registrations, 900 (57.8%) men and 658 women (42.2%). There were 68 hospital deaths and in-hospital mortality was 3.7% for men and 5.1% for women.The lethality was 2.6% under 50 years old, 4.1% between 50-69 years and 5.3% above 70 years. We identified 846 (46.6%) open surgeries and 968 (53.4%) angioplasties with a lethality of 2.0% in angioplasties (16/809) and 7.0% (52/748) with open surgeries. Elective procedures had 4.6 % of lethality and 4.1% in urgent/emergency procedures. Elective angioplasties had a mortality of 2.6%, and 1.4% in urgent/emergency. Open surgeries had the mortality of 6.5% and 7.5%, respectively.
  
  
  CONCLUSIONS
  Hospital lethality showed high levels in open vascular surgery and angioplasties. A very sensitive aspect is the mortality of angioplasties in elective patients. These results are similar to those observed in myocardial revascularization from atherosclerosis. Public hospitals had lower lethality.
authors.affiliation: Instituto do Coração Edson Saad (ICES), Universidade Federal do Rio de Janeiro (UFRJ) e Escola Nacional de Saúde Pública (ENSP), Fundação Osvaldo Cruz (Fio Cruz), Rio de Janeiro, Brasil.
authors.forename: Angela Maria
authors.initials: AM
authors.lastname: Eugénio
authors.forename: Carlos Henrique
authors.initials: CH
authors.lastname: Klein
authors.forename: Nelson
authors.initials: N
authors.lastname: Albuquerque de Souza E Silva