![]() ![]() Sex, age, and time after surgery were shown to influence SMR. Symptomatic and asymptomatic carotid patients show similar long term mortality after CEA, but men had worse outcome than women. Within the first five years after surgery, SMR was increased for all patients (men 1.50, 95% CI 1.21 – 1.86 women 2.41, 95% CI 1.74 – 3.35), as well as in patients < 80 years (SMR 1.46, 95% CI 1.23 – 1.73). In women, cardiac disease was associated with increased mortality (adjusted HR 3.55, 95% CI 2.18 – 5.79), while in men, lipid lowering medication was protective (adjusted HR 0.61, 95% CI 0.39 – 0.96). Women had lower crude mortality than men in the first 10 years (20.8% vs. Symptomatic disease did not influence the mortality risk (adjusted HR 1.14, 95% CI 0.81 – 1.62). Of those, 349 patients died during follow up where overall mortality was similar in asymptomatic and symptomatic patients (34.2% vs. ![]() Sex differences and standardised mortality ratio (SMR, age and sex matched) were studied.Ī total of 1 033 patients were followed for 6.6 ± 4.8 years. Cox regression was adapted to analyse associations between clinical characteristics and outcome. Death and comorbidities were extracted from national registries and medical records. This was a two centre, non-randomised, observational study evaluating all cause, long term mortality in CEA patients from Stockholm, Sweden between 19. Here, the long term mortality is described in a well characterised cohort of asymptomatic and symptomatic CEA patients, sex differences evaluated, and mortality ratio compared with the general population. Few contemporary studies report on long term mortality in CEA treated patients, despite continuous changes in medication, diagnostics, and patient selection. Selecting the AD vessel may achieve better outcomes when two candidate TAPs belong to GLASS 1 – 2, whereas selecting the least diseased vessel as the TAP regardless of AD or NAD status may be preferable in other situations.Ĭarotid endarterectomy (CEA) is an effective surgical method for stroke prevention in selected patients with carotid stenosis. Using a more severely diseased AD as the TAP did not achieve significantly better outcomes than using a less severely affected NAD vessel. In the GLASS 3 group, there were no significant differences between the AD and NAD groups for any studied outcome measures, including ulcer healing and overall survival. In the GLASS 1 – 2 group, rates of ulcer healing, survival, and amputation free survival were higher and time to healing shorter in the AD than NAD group. The affected limbs were classified as follows: 93 (43.1%) as GLASS 1 – 2 AD 27 (12.5%) as GLASS 1 – 2 NAD, 62 (28.7%) as GLASS 3 AD, and 34 (15.7%) as GLASS 3 NAD groups. The study cohort comprised 215 patients (216 limbs). Outcomes between various subgroups were compared according to severity of lesions to determine the optimal TAP choice in each case. The severity of the lesions was classified using the Global Limb Anatomic Staging System (GLASS). Eligible patients were retrospectively identified and relevant data were collected from the institution’s electronic medical records. Patients with diabetic foot ulcers who had undergone endovascular revascularisation in this institution from January 2016 to May 2020 and had been followed up for two years were included. This was a retrospective observational study. param("client_secret", .The aims were to determine whether when treating diabetic foot ulcers (1) selecting an angiosome directed (AD) vessel as the target arterial path (TAP) when candidate vessels have comparably severe disease impacts outcomes and (2) whether a more severely affected AD vessel or a less severely affected non-angiosome directed (NAD) vessel should be chosen. AuthzClient authzClient(KeycloakSpringBootProperties kcProperties) ) I created a Spring boot 2.0.3 project and used the following code to get the token. 'rest-service-1' is configured with following values in Keycloak Access Type: confidentialĪlso, under 'Service Account Roles' for rest-service-1, following role is added/mapped Role for client rest-service-2: service-2-userĪfter setting up the 2 clients and service account for calling client in keyclock. To do service to service call, ie: rest-service-1 calls rest-service-2 Following are the 2 clients (2 micro-services) in keyclock.
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