title: Mortality from combined carotid endarterectomy and coronary artery bypass surgery in the US.
abstract: 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.
authors.affiliation: Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66160, USA. rdubinsky@safetyresearch.com
authors.forename: Richard M
authors.initials: RM
authors.lastname: Dubinsky
authors.forename: Sue Min
authors.initials: SM
authors.lastname: Lai
mesh_terms: 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