Risk Prediction Tools to Improve Patient Selection for Carotid Endarterectomy Among Patients With Asymptomatic Carotid Stenosis.

ABSTRACT:

Importance

Randomized clinical trials have demonstrated that patients with asymptomatic carotid stenosis are eligible for carotid endarterectomy (CEA) if the 30-day surgical complication rate is less than 3% and the patient's life expectancy is at least 5 years.

Objective

To develop a risk prediction tool to improve patient selection for CEA among patients with asymptomatic carotid stenosis.

Design, setting, and participants

In this cohort study, veterans 65 years and older who received both carotid imaging and CEA in the Veterans Administration between January 1, 2005, and December 31, 2009 (n = 2325) were followed up for 5 years. Data were analyzed from January 2005 to December 2015. A risk prediction tool (the Carotid Mortality Index [CMI]) based on 23 candidate va

SUBMITTER: Keyhani S 

PROVIDER: S-EPMC6484803 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature