Predictors of poor outcome after carotid intervention

摘要: Background A variety of patient factors are known to adversely impact outcomes after carotid endarterectomy (CEA) or artery stenting (CAS). However, their specific on complications and mortality how they differ between CEA CAS is unknown. The purpose this study identify hospital that outcomes. Methods Patients who underwent 1998 2012 (N = 1,756,445) were identified using the Agency for Healthcare Research Quality National Inpatient Sample State Ambulatory Services Databases. A multivariate analysis was completed evaluate demographics, factors, type symptoms (transient ischemic attack cerebrovascular accident), volume cases (3 per year vs 1-2 interventions), interventions upon outcomes, perioperative (stroke, myocardial infarction, bleeding), duration stay, inpatient mortality, cost. Significant then used as part a multivariate regression determine odds ratios. subgroup propensity matching evaluating 1:1 risk-matched asymptomatic symptomatic patients completed. Patient cohorts matched basis Charlson scores. Results Over period total 1,583,614 CEA, 7317 CAS, 162,362 3149 included. Symptomatic disease portends worse outlook either CAS. Costs procedure increased with stroke adding most significant cost burden. For patients, female gender ( P Conclusions Higher rates postoperative women undergoing an unexpected finding, may indicate population vulnerable endovascular management. Low predictor subsequent primarily undergo continue have superior compared