carotid artery disease carotid in geriatrics
Reference:
http://stroke.ahajournals.org/content/early/2014/04/30/STROKEAHA.113.003956.abstract

Activities of Daily Living Is a Critical Factor in Predicting Outcome After Carotid Endarterectomy in Asymptomatic Patients

  1. James G. Reeves, MD

Stroke, STROKEAHA.113.003956


NOT REALLY!!!! 
This study showed THREE times risk of stroke when the patient is dependent preoperatively! If you see such a patient, never quote your outcome for stroke; but rather quote three times your figures .. and be careful: how much benefits you expect to achieve if you operate on this patient: balancer it carefully to be on the safe and correct side.
Here are their findings:
Of 19 748 CEAs, 19 348 (97.97%) were functionally independent, 377 (1.99%) were functionally partially dependent, and 23 (0.12%) were functionallydependent. 

In functionally independent group, there were 196 (1.01%) strokes, 84 (0.43%) deaths, and 1416 (7.17%) other complications, 

whereas in the functionally partially dependent group, there were 14 (3.71%) strokes, 10 (2.65%) deaths, and 80 (21.22%) other complications. 

In multivariable risk-adjusted model, using functionally independent as reference, functionally partially dependent was associated with death (odds ratio, 3.3; 95% confidence interval, 1.6–6.8; P<0.001), stroke (odds ratio, 3; 95% confidence interval, 1.7–5.4;P<0.001), and other complications (odds ratio, 2.5; 95% confidence interval, 1.9–3.2; P<0.001).
26 Apr, 2020

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