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Carotid endarterectomy utilization and mortality in 10 states
Shadi S Saleh1, Edward L Hannan
1Department 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. ssaleh@albany.edu
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.
