Heart failure in patients undergoing carotid revascularization was a significant determinant of perioperative outcomes and resource utilization (P<0.001).
Observational
Yes
Does the presence of heart failure worsen in-hospital outcomes in patients undergoing carotid revascularization?
Heart failure is a significant predictor of adverse perioperative outcomes and increased resource utilization in patients undergoing carotid revascularization.
p-value: p=< 0.001
OBJECTIVES: We evaluated in-hospital outcomes among patients with heart failure (HF) undergoing carotid revascularization. METHODS: Using the National Inpatient Sample (2016-2022), we identified patients with carotid artery stenosis who underwent carotid artery stenting (CAS) or carotid endarterectomy (CEA). Based on HF status, we compared in-hospital mortality, cerebral infarction, hemorrhage, discharge disposition, length of stay, and hospitalization cost. RESULTS: < 0.001), with numerically higher but non-significant associations among CEA patients. CONCLUSION: HF was present in one of seven patients undergoing carotid revascularization and remains a significant determinant of perioperative outcomes and resource utilization. Combined systolic-diastolic HF was associated with longer hospital stay and higher resource utilization.
AlKhateeb et al. (Thu,) conducted a observational in Carotid artery stenosis. Heart failure vs. No heart failure was evaluated on In-hospital mortality, cerebral infarction, hemorrhage, discharge disposition, length of stay, and hospitalization cost (p=< 0.001). Heart failure in patients undergoing carotid revascularization was a significant determinant of perioperative outcomes and resource utilization (P<0.001).
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