
TY  - JOUR
A1  - Middleton, Sandy 
A1  - Donnelly, Neil 
A1  - Harris, John 
A1  - Lusby, Robert 
A1  - Ward, Jeanette 
T1  - Audit of longterm mortality and morbidity outcomes for carotid endarterectomy
JF  - Australian Health Review
JO  - Aust. Health Review
Y1  - 2002
VL  - 25
IS  - 4
SP  - 81
EP  - 91
KW  - 
UR  - https://doi.org/10.1071/AH020081 
N2  - There have been no Australian studies of longterm mortality status and cause of death after carotid endarterectomy (CEA) or, for survivors, quality-of-life. We first determined rate and cause of death for a cohort of patients four years after CEA. Surviving patients were surveyed to ascertain health status, using MOS SF-36. Of 238 patients who underwent CEA in our health service in 1995, 44 (18.5%) had died within four years. The majority of deaths (61.4%) were attributable to vascular causes. Of the surviving 162 patients (survey response fraction 90%), 10 (6.2%) subsequently had suffered a non-fatal stroke in the four years following their CEA. With respect to health status, Physical Functioning scores differed significantly by age (t=2.65, df=149, P=0.01) as did Role Physical scores (t=2.10, df=142, P=0.04). We conclude that patients undergoing CEA are at high risk of dying from vascular causes, inviting concerted efforts in discharge planning to co-ordinate optimal vascular risk factor management. 
ER  -

