Comparing outcomes of carotid endarterectomy with international benchmarks: audit from an Italian vascular surgery department.
Ital Heart J
; 6(11): 917-21, 2005 Nov.
Article
em En
| MEDLINE
| ID: mdl-16320928
ABSTRACT
BACKGROUND:
The aim of this study was to compare the outcomes of carotid endarterectomy (CEA) in the current practice of our department of vascular surgery with international benchmarks.METHODS:
In-patient data from 488 CEA performed in both symptomatic 145 (29.7%) and asymptomatic 343 (70.3%) patients with a > or = 60% stenosis at the level of the internal carotid artery. Comprehensive retrospective review of the records for all the CEAs performed during a 2-year period. The main outcome measures were death rate, and fatal and non-fatal stroke rates perioperatively, and at 30 and 180 days.RESULTS:
The fatal and non-fatal stroke rates of symptomatic patients were 0.7% perioperatively, 0.7% at 30 days, and 0.7% at 180 days. The fatal and non-fatal stroke rates of asymptomatic patients were 0.6% perioperatively, 0.6% at 30 days, and 0.3% at 180 days. The death rates of symptomatic patients were 0% for all time periods. The death rates of asymptomatic patients were 0% perioperatively, 0% at 30 days, and 0.3% at 180 days.CONCLUSIONS:
The present comprehensive audit shows that our surgeons achieve CEA outcomes comparable with international benchmarks.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Centro Cirúrgico Hospitalar
/
Endarterectomia das Carótidas
/
Benchmarking
/
Cooperação Internacional
/
Auditoria Médica
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article