Short-stay carotid endarterectomy in a tertiary-care Veterans Administration hospital - 25/08/11
, Dawn M. Larson, M.D. a, Alan P. Sawchuk, M.D. a, Stephen G. Lalka, M.D. a, Shoaib Shafique, M.D. a, Michael C. Dalsing, M.D. aAbstract |
Background |
This study focused on 200 carotid endarterectomies (CEA) performed at our Veterans Administration Hospital (VAH) to determine whether 1-day hospitalization after CEA is safe and the degree to which it can be achieved.
Methods |
Over 36 months, 200 CEAs were performed for asymptomatic stenosis (n = 104), transient ischemic attacks (n = 68), and stroke (n = 28). General anesthesia was used in 189 procedures.
Results |
The hospital stay was 1 day for 132 procedures and more than 1 day in 68 CEAs. The average stay was 1.69 ± 1.5 days. After surgery there were 3 strokes, 5 hematomas that required evacuation, and 5 myocardial infarctions. There were no deaths. Four patients were readmitted in the 1-day and the greater than 1-day stay groups. History of myocardial infarction, renal insufficiency, longer operative time, and complications correlated with a greater than 1-day stay (P <0.05).
Conclusion |
A 1-day hospital stay is safe and practical in a VAH setting, resulting in good clinical outcomes.
Le texte complet de cet article est disponible en PDF.Keywords : Short hospital stay for carotid endarterectomy
Plan
Vol 188 - N° 5
P. 544-548 - novembre 2004 Retour au numéro
Article précédent
- Characterization of endoleaks by dynamic computed tomographic angiography
- Jonas Rydberg, Stephen Lalka, Matthew Johnson, Dolores Cikrit, Michael Dalsing, Alan Sawchuk, Shoaib Shafique
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