%0 Journal Article
%T Association of HIV infection with age and symptomatic carotid atherosclerotic disease at the time of carotid intervention in the United States
%A Andrew Barleben
%A Brittany N Burton
%A Martin Hoenigl
%A Rodney A Gabriel
%A Timothy C Lin
%J Vascular Medicine
%@ 1477-0377
%D 2018
%R 10.1177/1358863X18789783
%X The primary objectives of this work were: (1) to describe trends in HIV prevalence among those undergoing carotid intervention (carotid endarterectomy or carotid artery stenting) in the United States; and (2) to determine if HIV infection is independently associated with symptomatic carotid atherosclerotic disease or age at the time of carotid intervention. In a nationally representative inpatient database from 2004 to 2014, HIV infection was associated with younger age at the time of carotid intervention (59 years [SE 0.2] vs 71 years [SE 0.01], p < 0.001), male sex (83% vs 58%, p < 0.001), black race (21% vs 4%, p < 0.001), and symptomatic carotid atherosclerotic disease (18.8% vs 11.0%, p < 0.001). Among those undergoing carotid intervention, there was a significant increase in the prevalence of HIV from 0.08% in 2004 to 0.17% in 2014 (p < 0.001). After adjustment for patient demographics, comorbidities and other covariates, HIV infection remained significantly associated with younger age (¨C8.9 years; 95% CI: ¨C9.7 to £¿8.1; p < 0.001) at the time of carotid intervention, but HIV infection was not independently associated with symptomatic carotid atherosclerotic disease
%K HIV
%K atherosclerosis
%K carotid artery disease
%K endarterectomy
%K epidemiology
%K population health
%K stent
%U https://journals.sagepub.com/doi/full/10.1177/1358863X18789783