Table 15. Perioperative (30-day) complication rates of carotid endarterectomy, stratified by study characteristics

 Number of studiesStroke or death %
(95% CI)
Prospective studies184.5% (4.2-4.9%)
Retrospective studies524.9% (4.6-5.3%)
RCTs87.0% (6.2-7.9%)
Not RCTs624.4% (4.2-4.7%)
Population-based86.2% (5.5-6.9%)
Not population-based544.4% (4.2-4.7%)
Single surgeon author62.3% (1.7-3.1%)
Surgeon only author354.1% (3.8-4.4%)
Non-surgeon author296.3% (5.7-6.7%)
Ascertainment independent206.7% (6.1-7.2%)
Ascertainment not independent or unclear
     (all studies)
504.0% (3.7-4.2%)
Published 1990 or earlier444.1% (3.8-4.4%)
Published 1991 or later266.0% (5.5-6.4%)
Poor quality212.9% (2.6-3.2%)
Fair quality145.1% (4.6-5.7%)
Good quality126.7% (6.2-7.4%)
Selection biased or unclear93.2% (2.8-3.6%)
Selection not biased385.2% (4.9-5.6%)
Population inadequately described123.4% (2.7-4.3%)
Population adequately described354.6% (4.4-4.9%)
Followup incomplete or unclear0No data
Followup complete474.5% (4.3-4.8%)
Complications not defined303.5% (3.3-3.8%)
Complications defined176.7% (6.2-7.3%)
Techniques not described323.4% (3.1-3.8%)
Techniques described156.1% (5.7-6.6%)
Ascertainment not independent273.4% (3.1-3.7%)
Ascertainment independent
     (abstracted studies only)
206.6% (6.1-7.2%)
Statistical analysis inadequate353.9% (3.6-4.2%)
Statistical analysis adequate126.0% (5.5-6.6%)
Duration of followup unclear or inadequate203.4% (3.1-3.8%)
Duration of followup adequate275.5% (5.1-5.9%)

From: 4, Results - Carotid Imaging

Cover of Effectiveness and Cost-Effectiveness of Echocardiography and Carotid Imaging in the Management of Stroke
Effectiveness and Cost-Effectiveness of Echocardiography and Carotid Imaging in the Management of Stroke.
Evidence Reports/Technology Assessments, No. 49.
Meenan RT, Saha S, Chou R, et al.

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