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Analysis of Cerebral Vasospasm in a Murine Model of Subarachnoid Hemorrhage with High Frequency Transcranial Duplex Ultrasound
Published on: June 3, 2021
Carotid Doppler - costs and need after stroke or TIA
H F Jespersen1, H S Jørgensen, H Nakayama
1Department of Neurology, Bispebjerg Hospital, Copenhagen, Denmark. holgerj@dadlnet.dk
Acta Neurologica Scandinavica
|March 21, 2002
Summary
Carotid endarterectomy screening is costly for stroke patients due to many Doppler tests per surgery. Careful patient selection is crucial to reduce expenses and improve the efficiency of carotid endarterectomy procedures.
Area of Science:
- Vascular Surgery
- Neurology
- Health Economics
Background:
- Stroke and Transient Ischemic Attack (TIA) are significant health concerns.
- Carotid artery stenosis is a major risk factor for stroke.
- Carotid endarterectomy is a surgical intervention to prevent stroke.
Purpose of the Study:
- To assess the demand and cost-effectiveness of carotid Doppler screening and carotid endarterectomy.
- To evaluate these procedures in a non-selected hospitalized stroke or TIA patient cohort.
Main Methods:
- Prospective study over 25 months.
- Carotid Doppler screening for hospitalized patients with stroke or TIA.
- Surgical evaluation for patients with significant stenosis (70-99%).
- Cost analysis of screening and surgical procedures.
Main Results:
- 703 out of 1351 patients underwent carotid Doppler screening.
- 45 patients had severe carotid artery stenosis (70-99%).
- Only 3 patients proceeded to surgery.
- High screening-to-surgery ratio indicates significant cost implications.
Conclusions:
- Carotid endarterectomy is currently expensive due to the high number of screenings required per successful surgery.
- Clinical selection of patients for carotid Doppler screening is essential.
- Optimizing patient selection can improve cost-effectiveness and resource allocation.
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