Diabetes Mellitus as a Risk Factor for Early Outcome After Carotid Endarterectomy – a Population-based Studyf1
Autor: | Per Örtenwall, Thomas Troëng, Johan Elfström, Abdi Ahari, Lars Norgren, David Bergqvist, K.-G. Ljungström, Bengt Hedberg |
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Rok vydání: | 1999 |
Předmět: |
Medicine(all)
medicine.medical_specialty endocrine system diseases business.industry medicine.medical_treatment nutritional and metabolic diseases Stroke Carotid endarterectomy medicine.disease Outcome (game theory) Population based study Diabetes mellitus Internal medicine cardiovascular system medicine Cardiology Population study Surgery cardiovascular diseases Risk factor Cardiology and Cardiovascular Medicine business |
Zdroj: | European Journal of Vascular and Endovascular Surgery. 18(2):122-126 |
ISSN: | 1078-5884 |
DOI: | 10.1053/ejvs.1999.0852 |
Popis: | Background and purpose:to determine if diabetes mellitus is a risk factor for outcome after carotid endarterectomy (CEA).Methods:the outcome and complications of all vascular procedures performed in Sweden are registered prospectively in the Swedish Vascular Registry (Swedvasc) and form the basis of this report. During the 10-year period 1987–96 2622 CEAs were analysed for notified complications.Results:of the 2622 CEAs, 341 (13%) were performed on diabetics and 2281 (87%) on non-diabetics. Patients with diabetes presented at a younger age (67.1±8.3 years vs. 68.2±8.3 years p =0.028), were more likely to have a history of hypertension (61.9% vs. 50% p =0.001) and were less often smokers (34.9% vs. 43.2% p =0.001). Diabetics presented more often with minor stroke (41.3% vs. 30.8% p =0.002) and non-diabetics more often with amaurosis fugax (18.9% vs. 14.4% p =0.04). Diabetics had a higher 30-day mortality (3.2% vs. 1.4% p =0.02). The 30-day neurologic and cardiac morbidity did not differ. The 1-year mortality was 7.9% in diabetics and 4.4% in non-diabetics (p =0.008). Non-diabetics operated on in 1992–96 compared to those operated on in 1987–91 had a significantly lower combined permanent stroke and death rate (3.7% vs. 5.7% p =0.05), a difference not found in diabetics (6.3% for 1987–92 and 6.8% for 1992–96Conclusions:diabetics had both a higher 30-day and 1-year mortality after CEA compared to non-diabetics, mainly because of cardiac complications. However, postoperative neurologic morbidity did not differ. |
Databáze: | OpenAIRE |
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