Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2001-9-3
pubmed:abstractText
The objective was to investigate which screening variables in a population study predicted carotid endarterectomy. Among 793 carotid endarterectomies performed at Malmö University Hospital between 1991 and 1998, 85 patients (14 females) were identified that had participated in a population screening between 1974 and 1991. Median time from screening to operation was 16 years (range 6-26 years). Screening variables were compared with corresponding values from the background screening population (n = 33261). As operated patients were older than the background population at screening (49 [37-60] vs. 46 [26-61] years; p < 0.0001), comparisons were age-adjusted. Operated patients had higher systolic blood pressure (SBP; 130 [126-133] vs. 125 [125-125] mmHg; p < 0.01), serum total cholesterol (6.1 [5.9-6.3] vs. 5.7 [5.7-5.7] mmol/l; p < 0.0001), serum triglyceride (1.4 [1.3-1.6] vs. 1.1 [1.1-1.1] mmol/l; p < 0.0001), serum glutamic acid transferase (0.46 [0.40-0.53] vs. 0.40 [0.40-0.41] microkat/l; p < 0.05), and plasma fibrinogen (3.77 [3.42-4.16] vs. 3.35 [3.30-3.41] mmol/l; p < 0.05) levels, a lower 120-min insulin/glucose ratio at an oral glucose tolerance test (OGTT; 0.48 [0.38-0.58] vs. 0.60 [0.59-0.61]; p < 0.05) and forced vital lung capacity (3.7 [3.6-3.9] vs. 3.9 [3.9-4.0] l/min; p < 0.05), and a higher prevalence of smoking at screening (68% vs. 45%; p < 0.0001). Smoking, SBP, serum total cholesterol, and the 120-min insulin/glucose ratio remained independent predictors for carotid surgery in multivariate analysis. No differences existed among patients operated on because of symptomatic and asymptomatic stenosis. In conclusion, increased SBP and total cholesterol, lower 2-h insulin/glucose ratio at an OGTT, and smoking predict carotid surgery at long-term follow-up.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1358-863X
pubmed:author
pubmed:issnType
Print
pubmed:volume
6
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
81-5
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:11530969-Acyltransferases, pubmed-meshheading:11530969-Adult, pubmed-meshheading:11530969-Blood Glucose, pubmed-meshheading:11530969-Blood Pressure, pubmed-meshheading:11530969-Carotid Artery, Internal, pubmed-meshheading:11530969-Carotid Stenosis, pubmed-meshheading:11530969-Endarterectomy, Carotid, pubmed-meshheading:11530969-Female, pubmed-meshheading:11530969-Follow-Up Studies, pubmed-meshheading:11530969-Glucose Tolerance Test, pubmed-meshheading:11530969-Humans, pubmed-meshheading:11530969-Insulin, pubmed-meshheading:11530969-Lipids, pubmed-meshheading:11530969-Male, pubmed-meshheading:11530969-Middle Aged, pubmed-meshheading:11530969-Multivariate Analysis, pubmed-meshheading:11530969-Predictive Value of Tests, pubmed-meshheading:11530969-Risk Factors, pubmed-meshheading:11530969-Sweden
pubmed:year
2001
pubmed:articleTitle
Predictors of carotid endarterectomy in middle-aged individuals.
pubmed:affiliation
University of Lund, Department of Vascular Diseases, Malmö University Hospital, Sweden.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't