Predicting medical and surgical complications of carotid endarterectomy: comparing the risk indexes

Archives of Internal Medicine
Matthew J PressEthan A Halm

Abstract

Several generic cardiac risk assessment tools predict perioperative cardiac complications, but their ability to predict a broader range of medical, neurologic, and surgical complications is unknown. A multicenter retrospective observational cohort study of 1998 patients undergoing carotid endarterectomy (CEA). Complications within 30 days of surgery were assessed by medical record review, including death or nonfatal stroke and cardiac, noncardiac medical, minor neurologic, and wound complications. Logistic regression and receiver operating characteristic curve analyses assessed the predictive abilities of the Goldman, Detsky, Revised Cardiac Risk, and American Society of Anesthesiologists indexes and of 2 CEA-specific risk models (the Halm and Tu scores). Death or stroke occurred in 3.2% of patients, cardiac complications in 4.0%, noncardiac medical complications in 3.2%, minor neurologic complications in 6.9%, and wound complications in 6.0%. All risk models (except the Tu score) significantly predicted cardiac complications equally well (P<.05). All 6 risk models were equivalent in predicting noncardiac medical complications. Only the Revised Cardiac Risk Index and the 2 CEA-specific risk models (Halm and Tu scores) predicted...Continue Reading

Citations

Jan 8, 2008·Southern Medical Journal·Douglas E Wright, Daniel P Hunt
Apr 1, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Ritesh Maharaj
Dec 3, 2014·Annals of Vascular Surgery·Jorge Vilariño-RicoRamón Joaquín Segura-Iglesias
Oct 26, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D DoigUNKNOWN ICSS Investigators
Jul 18, 2018·Stroke; a Journal of Cerebral Circulation·Eline J VolkersUNKNOWN Carotid Stenosis Trialists’ Collaboration
Jun 19, 2014·Journal of the American Heart Association·Neil J WimmerRobert W Yeh
Mar 20, 2012·Stroke; a Journal of Cerebral Circulation·Sofia StrömbergUNKNOWN Swedish Vascular Registry (Swedvasc) Steering Committee
Jun 15, 2018·European Stroke Journal·Eline J VolkersJacoba P Greving
Jan 30, 2018·Khirurgiia·R A VinogradovK A Lashevich
Oct 13, 2021·Stroke; a Journal of Cerebral Circulation·Michiel H F PoorthuisGert J de Borst

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.