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Clinical factors associated with long-term mortality following vascular surgery: Outcomes from The Coronary Artery Revascularization Prophylaxis (CARP)

Published byLawrence Banks Modified over 6 years ago

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Presentation on theme: "Clinical factors associated with long-term mortality following vascular surgery: Outcomes from The Coronary Artery Revascularization Prophylaxis (CARP)"— Presentation transcript:

1 Clinical factors associated with long-term mortality following vascular surgery: Outcomes from The Coronary Artery Revascularization Prophylaxis (CARP) Trial  Edward O. McFalls, MD, PhD, Herbert B. Ward, MD, PhD, Thomas E. Moritz, MS, Fred Littooy, MD, Steve Santilli, MD, Joseph Rapp, MD, Greg Larsen, MD, Domenic J. Reda, PhD  Journal of Vascular Surgery  Volume 46, Issue 4, Pages (October 2007) DOI: /j.jvs Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Kaplan-Meier survival curves are shown following vascular surgery for those patients excluded from the main trial because of absence of multiple cardiac risks as the only exclusion factor (N = 2314), the remaining patients who were excluded for other reasons (N = 2100) and the randomized cohort (red; N = 462). The 2.5-year survival following vascular surgery in the excluded patients with minimal cardiac risks was 0.88 compared with 0.75 in all of the remaining excluded patients and 0.80 in the randomized patients (P < .0001). Preoperative cardiac risk variables included a history of angina, prior myocardial infarction, previous diagnosis of congestive heart failure, ventricular arrhythmias that have required treatment, pathological q-waves on a baseline EKG and diabetes. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 The clinical variables that were associated with an increased risk of mortality at a median of 2.5 years following vascular surgery, as determined by the Cox regression analysis, are shown for those patients presenting with an expanding abdominal aortic aneurysm along with the hazard ratios and 95% confidence intervals. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 The clinical variables that were associated with an increased risk of mortality at a median of 2.5 years following vascular surgery, as determined by the Cox regression analysis, are shown for those patients presenting with symptoms of lower limb ischemia, along with the hazard ratios and 95% confidence intervals. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

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