Community hospital carotid endarterectomy in patients over age 75

J. Gary Maxwell, Edmund J. Rutherford, Deborah L. Covington, Paige Churchill, Ronald D. Patrick, Charles Scott, Thomas V. Clancy

Research output: Contribution to journalArticle

Abstract

We compared the prevalence of stroke and death in 133 patients aged 75 and older in whom 170 carotid endarterectomies were performed with that in 501 patients less than age 75 in whom 640 carotid endarterectomies were performed. There were three strokes (2%) in patients aged 75 and older and nine strokes (1%) in younger patients (p=0.7). There were 8 deaths (5%) in patients aged 75 and older and 14 deaths (2%) in younger patients (p=0.1). After controlling for the possible confounding effects of diabetes, prior stroke, history of angina, prior carotid artery disease, previous vascular surgery, history of myocardial infarction, preoperative hypertension requiring medication, and female gender, a logistic regression model showed that patients aged 75 and older were no more likely to have a stroke or death than patients under age 75. We conclude that age alone is not a contraindication to the safe performance of carotid endarterectomy in the community hospital.

Original languageEnglish (US)
Pages (from-to)598-603
Number of pages6
JournalThe American Journal of Surgery
Volume160
Issue number6
DOIs
StatePublished - Dec 1990
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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    Maxwell, J. G., Rutherford, E. J., Covington, D. L., Churchill, P., Patrick, R. D., Scott, C., & Clancy, T. V. (1990). Community hospital carotid endarterectomy in patients over age 75. The American Journal of Surgery, 160(6), 598-603. https://doi.org/10.1016/S0002-9610(05)80753-6