Stroke Research Today is a free monthly online journal that collates and summarizes the latest research about Stroke, including details on treatment, recovery, rehabilitation, signs, symptoms.

Mortality from combined carotid endarterectomy and coronary artery bypass surgery in the US.

Dubinsky RM, Lai SM

Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66160, USA. rdubinsky@safetyresearch.com

We determined hospital mortality and postoperative stroke rates after combined carotid endarterectomy (CEA) and coronary artery bypass graft surgery (CABG) vs CABG alone, using the US Nationwide Inpatient Sample. CEA-CABG combined was 1.06%. After correcting for comorbidities, the odds ratio for postoperative stroke or death for CEA-CABG was 1.38 (95% CI 1.27 to 1.50) vs CABG. With the increase in postoperative stroke and death, a randomized, controlled clinical trial of combined CEA-CABG is indicated.

Published 16 January 2007 in Neurology, 68(3): 195-7.
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