Title Moterų insulto rizikos veiksniai ir jų įtaka miego arterijos endarterektomijos rezultatams /
Translation of Title Stroke risk factors and their impact on the surgical risk of carotid endarterectomy in women.
Authors Meškauskienė, Auksė ; Barkauskas, Egidijus Vytautas ; Gaigalaitė, Virginija ; Laurikėnas, Kęstutis
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Is Part of Lietuvos chirurgija. 2005, t. 3, Nr. 2, p. 94-102.. ISSN 1392-0995
Abstract [eng] The literature provides conflicting evidence regarding surgical risks of carotid endarterectomy in women as compared to men. We used data from our carotid surgery registry to determine whether sex differences exist in the stroke risk factors and their impact on the surgical risk of carotid endarterectomy. Patients and methods We have analyzed data on all patients operated on for carotid artery stenosis at the Vilnius Emergency Hospital in 1995–2003 and have compared gender-dependent stroke risk factors, concomitant diseases and the perioperative risks of death, sroke and myocardical infarction. The logistic regression method was employed to determine the surgical risk in men and women depending on age and other risks of stroke. Results The study cohort consisted of 129 women and 373 men. Women were older than men, more likely to have a history of hypertension; they were more obese, had higher levels of cholesterol and less of them smoked. There were no significant sex differences in the history of coronary artery disease, diabetes mellitus and peripheral vascular disease. The incidence of death, stroke and myocardial infarction in women was even slightly lower than in men (2.3% versus 3.5%; 0.8% versus 2.1%; 1.5% versus 1,9%, all p > 0,05). Diabetes mellitus (OR odds ratio 7.43; 95% CI 1.7 to 17.8, p < 0.002) was predictive of a higher surgical risk in women. Conclusions Operative complication rates from carotid endarterectomy in women were not worse than in men and did not exceed the recommended upper limits for operative risk, confirming the beneficial effects of carotid endarterectomy in women. Diabetes mellitus was a potential prognostic factor for a higher surgical risk in women.
Type Journal article
Language Lithuanian
Publication date 2005
CC license CC license description