Vascular disease risk factor management four years after carotid endarterectomy : Are opportunities missed?
Middleton, Sandy, Harris, John, Lusby, R. and Ward, Jeanette. (2003). Vascular disease risk factor management four years after carotid endarterectomy : Are opportunities missed? ANZ Journal of Surgery. 73(4), pp. 225-231. https://doi.org/10.1046/j.1445-1433.2002.02570.x
|Authors||Middleton, Sandy, Harris, John, Lusby, R. and Ward, Jeanette|
Background: Because a large percentage of patients surviving carotid endarterectomy (CEA) subsequently die from a vascular cause, the aim of the present paper was to determine risk factor management for a cohort of patients 4 years after their CEA.
Methods: Surviving patients who had a CEA within the region administered by the Central Sydney Area Health Service in 1995 were asked to complete a self-administered questionnaire to determine vascular risk factors.
Results: Of the 181 patients eligible to participate, 162 returned questionnaires (response rate: 90%). While 106 (65.4%) patients recalled that they had been diagnosed with high blood pressure either before or after their CEA, only 79.2% recalled that their latest blood pressure reading was ‘about right for my age’. Nearly one in five (16.7%) who had had their cholesterol level checked in the last 12 months (n = 120) indicated that the reading was ‘too high’. Only 76.5% reported taking medications to ‘thin the blood’. Almost one-fifth of patients (17.3%) were current smokers. Only 35.2% of patients participated in a level of physical activity sufficient to confer a health benefit. Further, 30.2% of patients were overweight and 14.8% were obese. The majority of patients (98.1%) reported having a regular general practitioner (GP). Of these, 98.7% had visited their GP at least once within the previous 6 months.
Conclusions: Vascular risk factor management following CEA is suboptimal, inviting the implementation and evaluation of strategies to improve outcomes.
|Keywords||audit; carotid endarterectomy; stroke risk factors; vascular surgery|
|Journal||ANZ Journal of Surgery|
|Journal citation||73 (4), pp. 225-231|
|Digital Object Identifier (DOI)||https://doi.org/10.1046/j.1445-1433.2002.02570.x|
|Research or scholarly||Research|
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File Access Level
|Online||15 Apr 2003|
|Publication process dates|
|Accepted||24 Nov 2002|
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