Higher Risk Factor Burden and Worse Outcomes in Urban Carotid Endarterectomy Patients

• DOI: 10.1161/strokeaha.108.516062
• Publication Date: 2008-08-08T01:49:25Z
• Authors: Seemant Chaturvedi; Ramesh Madhavan; Sunitha Santhakumar; Maysaa Mehri-Basha; Nikita Raje
• Keywords: Stroke

Previous multicenter carotid endarterectomy (CEA) studies had screening criteria for patient comorbidities and very few blacks. We assessed the hypothesis that CEA results from two urban hospitals would approximate those of previous trials.A retrospective chart review was completed at procedures done in 2003 2004. Demographic information past medical history recorded. In hospital perioperative complications (stroke or myocardial infarction [MI]) were noted. calculated an expected stroke rate based on trial figures our proportion symptomatic asymptomatic patients.Patients cohort significantly higher rates hypertension, diabetes, smoking, black race, elderly status compared to trials. The 3.1%, observed 4.7% (P=0.36). Observed MI (6.7%, P<0.001)) (11.3%, P<0.0001) than subjects (15.4% versus 5.6%, P=0.065) this significant with lower volume.In hospitals, worse Patient selection is likely play a role because numbers hypertensives, diabetics, smokers, blacks, patients. Clinicians need carefully consider risk/benefit ratio patients study shows these have large number outcomes after CEA.