The American Journal of Surgery
Volume 187, Issue 1 , Pages 14-19, January 2004

Carotid endarterectomy utilization and mortality in 10 states

  • Shadi S Saleh, Ph.D. M.P.H.

      Affiliations

    • Department of Health Policy, Management and Behavior, School of Public Health, State University of New York, University of Albany, One University Place, Rensselaer, NY 12144, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-518-402-0333; fax: +1-518-402-0414.
    • ,
  • Edward L Hannan, Ph.D.

      Affiliations

    • Department of Health Policy, Management and Behavior, School of Public Health, State University of New York, University of Albany, One University Place, Rensselaer, NY 12144, USA

Received 2 January 2003; received in revised form 9 April 2003

Abstract 

Background

Studies that examined the rates of and mortality after carotid endarterectomy (CEA) mainly were confined to a limited geographical location or population. The primary purposes of this study are to examine the variation of risk-adjusted in-hospital mortality rates after CEA in 10 states, and utilization rates per capita of CEA.

Methods

An analysis was made of hospital discharge data from 10 states extracted from the Agency for Health Research and Quality national database, Healthcare Cost and Utilization Project (HCUP).

Results

The rates of CEA per capita were found to differ among the 10 states examined. No significant association was detected between geographic location and the adjusted risk of in-hospital mortality. Sex, age, type of admission, and several comorbidities were found to be significant risk factors.

Conclusions

Rates of CEA per capita differ among states. However, geographical location does not affect the likelihood of risk-adjusted mortality after the procedure.

Keywords:  Carotid endarterectomy, Utilization, Mortality, Comparison, Geographical location

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PII: S0002-9610(03)00442-2

doi:10.1016/j.amjsurg.2003.04.005

The American Journal of Surgery
Volume 187, Issue 1 , Pages 14-19, January 2004

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