Patients with stroke and psychiatric comorbidities have lower carotid revascularization rates.

ABSTRACT:

Objective

We investigated whether mental illness is associated with lower rates of carotid endarterectomy (CEA)/carotid artery stenting (CAS) after stroke due to carotid stenosis.

Methods

In this retrospective cross-sectional study, ischemic stroke cases due to carotid stenosis were identified in the 2007-2014 Nationwide (National) Inpatient Sample. Psychiatric conditions were identified by secondary ICD-9-CM diagnosis codes for schizophrenia/psychoses, bipolar disorder, depression, anxiety, or substance use disorders. Using logistic regression, we tested the association between psychiatric conditions and CEA/CAS, controlling for demographic, clinical, and hospital factors.

Results

Among 37,474 included stroke cases, 6,922 (18.5%) had a psychiatric comorbidity. The pr

SUBMITTER: Bongiorno DM 

PROVIDER: S-EPMC6556087 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature