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July 26, 2026The American Surgeon

Acute Kidney Injury as a Marker of Socioeconomic Vulnerability Following Carotid Endarterectomy

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Authors

SNSiobhan O. NnoromKGK. GordonRLRohanManav Laljani

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Overview

Retrospective cohort analysis reveals socioeconomic distress links to increased AKI risk post-CEA, suggesting enhanced patient identification strategies.

Key Points

  • This study aims to evaluate the association between community-level socioeconomic distress and postoperative complications, specifically acute kidney injury (AKI), following carotid endarterectomy (CEA).
  • Conducted a retrospective cohort analysis using the Maryland State Inpatient Database (2018-2020) with 3027 patients undergoing CEA.
  • Assessed community-level socioeconomic distress using the Distressed Communities Index (DCI) categorized into quintiles.
  • Applied multivariable logistic regression to evaluate the relationship between DCI and AKI occurrence.
  • AKI rates were 6.0% in the distressed quintile compared to 1.9% in the prosperous quintile (P = 0.001).
  • Distressed community residence was independently associated with AKI (OR 2.39, CI 1.14-5.03, P = 0.021).
  • No significant differences were noted for other postoperative complications.

Cite This Study

Nnorom et al. (2026) studied this question.

synapsesocial.com/papers/6a65a890d3aea3239cd78dfehttps://doi.org/10.1177/00031348261471460
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1High community distress is linked to increased long-term mortality and stroke but not short-term readmission risk in patients undergoing carotid endarterectomy2026
  2. 2Socioeconomic Status is Not Associated With Complications Following Revision Total Joint Arthroplasty2025
  3. 3A contemporary evaluation of carotid endarterectomy outcomes in patients with chronic kidney disease in the United States2017 · 5 citations
  4. 4Racial and Socioeconomic Disparities After Carotid Procedures2018 · 29 citations
  5. 5Social Determinants of Health and End Stage Kidney Disease among Survivors of Critical Illness and AKI2026