Carotid Doppler - costs and need after stroke or TIA

Autor:	H F, Jespersen, H S, Jørgensen, H, Nakayama, J, Reith, T S, Olsen
Rok vydání:	2002
Předmět:	Aged 80 and over Male Endarterectomy Carotid Health Services Needs and Demand Patient Selection Ultrasonography Doppler Health Care Costs Severity of Illness Index Hospitalization Stroke Carotid Arteries Ischemic Attack Transient Humans Female Aged
Zdroj:	Acta neurologica Scandinavica. 105(1)
ISSN:	0001-6314
Popis:	To estimate the need for and the costs of carotid Doppler and carotid endarterectomy after stroke or TIA in non-selected hospitalized patients.During 25 months hospitalized patients with stroke or TIA, in whom carotid endarterectomy could be relevant, were examined with carotid Doppler. If a significant stenosis was found, they were further evaluated for surgery. Based on our results, the requirement for future carotid endarterectomy and Doppler screening was estimated, and the costs of the procedures calculated.Among 1351 patients 703 were screened with carotid Doppler. Forty-five had severe (70-99%) stenosis of the relevant carotid artery. Only 3 were operated on. The future costs of screening were estimated under different assumptions.Carotid endarterectomy is expensive due to the large number of patients screened with carotid Doppler per operated patient. A careful clinical selection of patients for screening is necessary.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::8aaec63027ebc0cabeea756e4d5fadf1 https://pubmed.ncbi.nlm.nih.gov/11903100 Zobrazit plný text záznamu