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Audit of long-term mortality and morbidity outcomes for carotid endarterectomy
Middleton, Sandy Donnelly, Neil Harris, John Lusby, Robert Ward, Jeanette
Middleton, Sandy
Donnelly, Neil
Harris, John
Lusby, Robert
Ward, Jeanette
Abstract
There have been no Australian studies of longterm mortality status and cause of death after carotid endarterectomy (CEA) or, for survivors, quality-of-life. We first determined rate and cause of death for a cohort of patients four years after CEA. Surviving patients were surveyed to ascertain health status, using MOS SF-36. Of 238 patients who underwent CEA in our health service in 1995, 44 (18.5%) had died within four years. The majority of deaths (61.4%) were attributable to vascular causes. Of the surviving 162 patients (survey response fraction 90%), 10 (6.2%) subsequently had suffered a non-fatal stroke in the four years following their CEA. With respect to health status, Physical Functioning scores differed significantly by age (t=2.65, df=149, P=0.01) as did Role Physical scores (t=2.10, df=142, P=0.04). We conclude that patients undergoing CEA are at high risk of dying from vascular causes, inviting concerted efforts in discharge planning to co-ordinate optimal vascular risk factor management.
Keywords
Date
2002
Type
Journal article
Journal
Australian Health Review
Book
Volume
25
Issue
4
Page Range
81-91
Article Number
ACU Department
Nursing Research Institute
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
DOI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled