Influence of surgical experience on the results of carotid surgery
| Autor: | Michael Luther, Juha-Pekka Salenius, Mauri Lepäntalo, Ilkka Kantonen, K. Ylönen, Sorjo Mätzke |
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| Rok vydání: | 1998 |
| Předmět: |
Centralisation
medicine.medical_specialty Stroke rate medicine.medical_treatment Carotid endarterectomy Asymptomatic Carotid surgery Hospital volume Surgical experience medicine cardiovascular diseases Mortality Stroke Medicine(all) business.industry medicine.disease Surgery Stenosis cardiovascular system Radiology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Journal of Vascular and Endovascular Surgery. 15(2):155-160 |
| ISSN: | 1078-5884 |
| DOI: | 10.1016/s1078-5884(98)80137-8 |
| Popis: | Objective:To assess the 30-day mortality and morbidity rates related to carotid endarterectomy on a nation-wide basis.Design:Retrospective cross-sectional study based on vascular registry Finnvasc.Materials and methods:A total of 17 465 recorded vascular and endovascular procedures included exactly 1600 carotid endarterectomies performed by 104 surgeons in 23 hospitals. Fourteen per cent of the patients were operated on for asymptomatic carotid stenosis.Results:The combined mortality and permanent stroke rate was 3.3%, without any difference between operations done on symptomatic or asymptomatic patients. There was a clear inverse association between surgeon's carotid case load and poor outcomes in carotid surgery (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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