Gender differences in perioperative complications following carotid endarterectomy: A retrospective analysis

Aim: This study aims to examine the distribution of major complications in patients undergoing carotid endarterectomy (CEA) based on gender. The primary objective is to assess the potential effects of gender on perioperative events in hospital. Material and Methods: At Başakşehir Cam and Sakura City...

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Main Authors: Abdullah Burak Balci, Omer Faruk Rahman, Hasan Tezcan, Suleyman Yazici, Nihan Kayalar
Format: Article
Language:English
Published: Turkish National Vascular and Endovascular Surgery Society 2024-03-01
Series:Turkish Journal of Vascular Surgery
Subjects:
Online Access:https://turkishjournalofvascularsurgery.org//?mno=215061
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author Abdullah Burak Balci
Omer Faruk Rahman
Hasan Tezcan
Suleyman Yazici
Nihan Kayalar
author_facet Abdullah Burak Balci
Omer Faruk Rahman
Hasan Tezcan
Suleyman Yazici
Nihan Kayalar
author_sort Abdullah Burak Balci
collection DOAJ
description Aim: This study aims to examine the distribution of major complications in patients undergoing carotid endarterectomy (CEA) based on gender. The primary objective is to assess the potential effects of gender on perioperative events in hospital. Material and Methods: At Başakşehir Cam and Sakura City Hospital, patients aged 18 and over who underwent CEA between September 2020 and November 2023, were retrospectively analyzed. The patients were categorized into two groups based on their gender. Patient characteristics were obtained from electronic medical records. Postoperative stroke, surgical revision, hematoma, and nerve injury were defined as perioperative events. Results: In this study, the average age of the 225 evaluated patients was found to be 65.8 ± 8.89. There were 73 female patients (32.44%) in Group 1 and 152 male patients (67.56%) in Group 2. Two patients (0.9%) experienced a stroke during the perioperative period. Hematomas were present in 24 patients (10.7%), and nerve damage was also observed in 15 patients (6.7%). Surgical revision due to bleeding was required in thirteen patients (5.8%). Perioperative events were observed in 27 patients. Perioperative events were significantly higher in men than in women (p=0.037). In multivariate logistic regression analysis, male gender was found to be the predictor of perioperative events (odds ratio [OR]: 3.701;95% CI: 1.145-11.963, p=0.029). Conclusion: Our results showed that male gender may be a predictor of perioperative events in patients undergoing carotid endarterectomy. Multicenter and larger study groups may be needed for healthier results. [Turk J Vasc Surg 2024; 33(3.000): 146-51]
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spelling doaj-art-5d80c0781c904ae493a111d08ad87ec02025-02-11T11:13:16ZengTurkish National Vascular and Endovascular Surgery SocietyTurkish Journal of Vascular Surgery2667-50802024-03-0133314651215061Gender differences in perioperative complications following carotid endarterectomy: A retrospective analysisAbdullah Burak Balci0Omer Faruk Rahman1Hasan Tezcan2Suleyman Yazici3Nihan Kayalar4Basaksehir Cam ve Sakura City Hospital Cardiovascular Surgery Department Izmir Bakircay Unıversity Medicine Faculty Cardiovascular Surgery Department Basaksehir Cam ve Sakura City Hospital Cardiovascular Surgery Department Basaksehir Cam ve Sakura City Hospital Cardiovascular Surgery Department Basaksehir Cam ve Sakura City Hospital Cardiovascular Surgery DepartmentAim: This study aims to examine the distribution of major complications in patients undergoing carotid endarterectomy (CEA) based on gender. The primary objective is to assess the potential effects of gender on perioperative events in hospital. Material and Methods: At Başakşehir Cam and Sakura City Hospital, patients aged 18 and over who underwent CEA between September 2020 and November 2023, were retrospectively analyzed. The patients were categorized into two groups based on their gender. Patient characteristics were obtained from electronic medical records. Postoperative stroke, surgical revision, hematoma, and nerve injury were defined as perioperative events. Results: In this study, the average age of the 225 evaluated patients was found to be 65.8 ± 8.89. There were 73 female patients (32.44%) in Group 1 and 152 male patients (67.56%) in Group 2. Two patients (0.9%) experienced a stroke during the perioperative period. Hematomas were present in 24 patients (10.7%), and nerve damage was also observed in 15 patients (6.7%). Surgical revision due to bleeding was required in thirteen patients (5.8%). Perioperative events were observed in 27 patients. Perioperative events were significantly higher in men than in women (p=0.037). In multivariate logistic regression analysis, male gender was found to be the predictor of perioperative events (odds ratio [OR]: 3.701;95% CI: 1.145-11.963, p=0.029). Conclusion: Our results showed that male gender may be a predictor of perioperative events in patients undergoing carotid endarterectomy. Multicenter and larger study groups may be needed for healthier results. [Turk J Vasc Surg 2024; 33(3.000): 146-51]https://turkishjournalofvascularsurgery.org//?mno=215061carotid endarterectomygender differencesperioperative eventsstroke
spellingShingle Abdullah Burak Balci
Omer Faruk Rahman
Hasan Tezcan
Suleyman Yazici
Nihan Kayalar
Gender differences in perioperative complications following carotid endarterectomy: A retrospective analysis
Turkish Journal of Vascular Surgery
carotid endarterectomy
gender differences
perioperative events
stroke
title Gender differences in perioperative complications following carotid endarterectomy: A retrospective analysis
title_full Gender differences in perioperative complications following carotid endarterectomy: A retrospective analysis
title_fullStr Gender differences in perioperative complications following carotid endarterectomy: A retrospective analysis
title_full_unstemmed Gender differences in perioperative complications following carotid endarterectomy: A retrospective analysis
title_short Gender differences in perioperative complications following carotid endarterectomy: A retrospective analysis
title_sort gender differences in perioperative complications following carotid endarterectomy a retrospective analysis
topic carotid endarterectomy
gender differences
perioperative events
stroke
url https://turkishjournalofvascularsurgery.org//?mno=215061
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AT omerfarukrahman genderdifferencesinperioperativecomplicationsfollowingcarotidendarterectomyaretrospectiveanalysis
AT hasantezcan genderdifferencesinperioperativecomplicationsfollowingcarotidendarterectomyaretrospectiveanalysis
AT suleymanyazici genderdifferencesinperioperativecomplicationsfollowingcarotidendarterectomyaretrospectiveanalysis
AT nihankayalar genderdifferencesinperioperativecomplicationsfollowingcarotidendarterectomyaretrospectiveanalysis