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July 26, 2026The American Surgeon

Acute Kidney Injury as a Marker of Socioeconomic Vulnerability Following Carotid Endarterectomy

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Authors

SNSiobhan O. NnoromKGK. GordonRLRohanManav Laljani

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Overview

Retrospective cohort analysis reveals socioeconomic distress links to increased AKI risk post-CEA, suggesting enhanced patient identification strategies.

Key Points

  • This study aims to evaluate the association between community-level socioeconomic distress and postoperative complications, specifically acute kidney injury (AKI), following carotid endarterectomy (CEA).
  • Conducted a retrospective cohort analysis using the Maryland State Inpatient Database (2018-2020) with 3027 patients undergoing CEA.
  • Assessed community-level socioeconomic distress using the Distressed Communities Index (DCI) categorized into quintiles.
  • Applied multivariable logistic regression to evaluate the relationship between DCI and AKI occurrence.
  • AKI rates were 6.0% in the distressed quintile compared to 1.9% in the prosperous quintile (P = 0.001).
  • Distressed community residence was independently associated with AKI (OR 2.39, CI 1.14-5.03, P = 0.021).
  • No significant differences were noted for other postoperative complications.

Cite This Study

Nnorom et al. (2026) studied this question.

synapsesocial.com/papers/6a65a890d3aea3239cd78dfehttps://doi.org/10.1177/00031348261471460
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