Mortality from combined carotid endarterectomy and coronary artery bypass surgery in the US.
We determined hospital mortality and postoperative stroke rates after combined carotid endarterectomy (CEA) and coronary artery bypass graft surgery (CABG) vs CABG alone, using the US Nationwide Inpatient Sample. CEA-CABG combined was 1.06%. After correcting for comorbidities, the odds ratio for postoperative stroke or death for CEA-CABG was 1.38 (95% CI 1.27 to 1.50) vs CABG. With the increase in postoperative stroke and death, a randomized, controlled clinical trial of combined CEA-CABG is indicated.
Dubinsky
Richard M
RM
Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66160, USA. rdubinsky@safetyresearch.com
Lai
Sue Min
SM
D000368:Aged; D002340:Carotid Artery Diseases / Q000401:mortality* / Q000601:surgery*; D002986:Clinical Trials as Topic / Q000706:statistics & numerical data*; D001026:Coronary Artery Bypass / Q000401:mortality*; D016894:Endarterectomy, Carotid / Q000401:mortality*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D015995:Prevalence; D018570:Risk Assessment; D012307:Risk Factors; D020521:Stroke / Q000401:mortality* / Q000517:prevention & control*; D016019:Survival Analysis; D015996:Survival Rate; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology