Gender-related risk factors for perioperative stroke after
carotid endarterectomy in symptomatic patients

Stelągowski, Mirosław; Kasielska‐Trojan, Anna; Bogusiak, Katarzyna; Timler, Dariusz; Łysakowski, Marek; Kaźmierski, Piotr; Pająk, Michał; M, Szostek

doi:10.17219/acem/68270

Cited by 5 publications

(2 citation statements)

References 34 publications

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“…35 Stelagowski et al showed that men and women have separate risk factors for perioperative stroke following CEA with hypercholesterolemia being a more influential risk factor in men than in women. 36 While we were unable to demonstrate any significant factors which would explain the higher rates of eCD in women, outcome differences based on sex remain an unresolved issues in carotid revascularization studies.…”

Section: Discussionmentioning

confidence: 64%

Easily Screenable Characteristics Associated with Cognitive Improvement and Dysfunction After Carotid Endarterectomy

et al. 2019

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Section: Discussionmentioning

confidence: 64%

Easily Screenable Characteristics Associated with Cognitive Improvement and Dysfunction After Carotid Endarterectomy

et al. 2019

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“…Previous studies reported that women undergo endarterectomies less often than men. However, in some, but not all, studies women have higher rates of post-endarterectomy TIA, strokes, and mortality (Akbari et al, 2000;James et al, 2001;Sarac et al, 2002;Stela ˛gowski et al 2017).…”

Section: Phasementioning

confidence: 99%

The Impact of Gender on the Postoperative Consumption of Intensive and Intermediate Care Resources

Weissman

2023

SAGE Open

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Gender disparities when delivering healthcare are attributed to gender bias and gender-related pathophysiology. We examined the interaction of gender with the provision of postoperative intensive and intermediate care. Specifically whether for major surgeries, co-morbidities and lengths-of-surgery, women receive intensive and intermediate care as often as men. A two-phase prospective study performed in an Israeli university medical center explored utilization of postoperative intensive/intermediate care. Phase 1 examined gender differences in a broad range of postoperative intensive and intermediate patients. Phase 2 examined consecutive patients undergoing major abdominal and vascular surgeries to ascertain whether for similar surgeries and co-morbidities, women were as likely as men to receive intensive/intermediate care. Phase 1 ( n = 1883)—Proportionately more males were admitted to intensive/intermediate areas because they more often were trauma victims or had pre-existing ischemic heart disease. Female admissions were notable for obstetrical emergencies and post-meningioma excisions. Phase 2 ( n = 796)—The proportion of males and females receiving intensive/intermediate care did not differ after specific surgeries, for example, hepatectomy, carotid endarterectomy. However, among patients with underlying ischemic heart disease men, more often than women (15% vs. 21%, p < 0.05), received intensive care after elective surgery. Although pathophysiologic differences resulted in more men than women, receiving postoperative intensive/intermediate care, gender bias might also be operative. These observations highlight the importance of considering the influence of gender when choosing a postoperative care location to insure that gender differences in the levels of care are due to pathophysiology and not gender bias.

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Perioperative Stroke

Leary

Varade

2020

Curr Neurol Neurosci Rep

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Gender-related risk factors for perioperative stroke after carotid endarterectomy in symptomatic patients

Abstract: Background. Carotid endarterectomy (CEA) is a surgical procedure used in ischemic brain stroke prevention in patients with symptomatic and asymptomatic severe carotid artery stenosis.

Cited by 5 publications

References 34 publications

Easily Screenable Characteristics Associated with Cognitive Improvement and Dysfunction After Carotid Endarterectomy

Easily Screenable Characteristics Associated with Cognitive Improvement and Dysfunction After Carotid Endarterectomy

The Impact of Gender on the Postoperative Consumption of Intensive and Intermediate Care Resources

Perioperative Stroke

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