Short-stay carotid endarterectomy in a tertiary-care Veterans Administration hospital

Dolores F. Cikrit, Dawn M. Larson, Alan Sawchuk, Stephen G. Lalka, Shoaib Shafique, Michael Dalsing

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

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. 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. 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). A 1-day hospital stay is safe and practical in a VAH setting, resulting in good clinical outcomes.

Original languageEnglish
Pages (from-to)544-548
Number of pages5
JournalAmerican Journal of Surgery
Volume188
Issue number5
DOIs
StatePublished - Nov 2004

Fingerprint

Veterans Hospitals
United States Department of Veterans Affairs
Carotid Endarterectomy
Tertiary Healthcare
Length of Stay
Stroke
Myocardial Infarction
Transient Ischemic Attack
Operative Time
Hematoma
General Anesthesia
Renal Insufficiency
Pathologic Constriction
Hospitalization

Keywords

  • Short hospital stay for carotid endarterectomy

ASJC Scopus subject areas

  • Surgery

Cite this

Short-stay carotid endarterectomy in a tertiary-care Veterans Administration hospital. / Cikrit, Dolores F.; Larson, Dawn M.; Sawchuk, Alan; Lalka, Stephen G.; Shafique, Shoaib; Dalsing, Michael.

In: American Journal of Surgery, Vol. 188, No. 5, 11.2004, p. 544-548.

Research output: Contribution to journalArticle

Cikrit, Dolores F. ; Larson, Dawn M. ; Sawchuk, Alan ; Lalka, Stephen G. ; Shafique, Shoaib ; Dalsing, Michael. / Short-stay carotid endarterectomy in a tertiary-care Veterans Administration hospital. In: American Journal of Surgery. 2004 ; Vol. 188, No. 5. pp. 544-548.
@article{46d25b47e01a4dd5a7825f54ce402707,
title = "Short-stay carotid endarterectomy in a tertiary-care Veterans Administration hospital",
abstract = "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. 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. 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). A 1-day hospital stay is safe and practical in a VAH setting, resulting in good clinical outcomes.",
keywords = "Short hospital stay for carotid endarterectomy",
author = "Cikrit, {Dolores F.} and Larson, {Dawn M.} and Alan Sawchuk and Lalka, {Stephen G.} and Shoaib Shafique and Michael Dalsing",
year = "2004",
month = "11",
doi = "10.1016/j.amjsurg.2004.07.028",
language = "English",
volume = "188",
pages = "544--548",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Short-stay carotid endarterectomy in a tertiary-care Veterans Administration hospital

AU - Cikrit, Dolores F.

AU - Larson, Dawn M.

AU - Sawchuk, Alan

AU - Lalka, Stephen G.

AU - Shafique, Shoaib

AU - Dalsing, Michael

PY - 2004/11

Y1 - 2004/11

N2 - 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. 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. 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). A 1-day hospital stay is safe and practical in a VAH setting, resulting in good clinical outcomes.

AB - 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. 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. 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). A 1-day hospital stay is safe and practical in a VAH setting, resulting in good clinical outcomes.

KW - Short hospital stay for carotid endarterectomy

UR - http://www.scopus.com/inward/record.url?scp=8544257312&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=8544257312&partnerID=8YFLogxK

U2 - 10.1016/j.amjsurg.2004.07.028

DO - 10.1016/j.amjsurg.2004.07.028

M3 - Article

C2 - 15546567

AN - SCOPUS:8544257312

VL - 188

SP - 544

EP - 548

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 5

ER -