Comparison of short-term clinical postoperative outcomes in patients who underwent carotid endarterectomy: intensive care unit versus the ward high-dependency unit

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
Donna AngelB P Mwipatayi

Abstract

The objective of this research was to examine the routine postoperative management of patients who have undergone carotid endarterectomy and compare the intensive care unit (ICU) with the ward high-dependency unit (HDU) in terms of the number, type, severity, or management of postoperative clinical events within a 48-hour time frame. Two of the vascular surgeons routinely admitted patients to the ICU, and 1 vascular surgeon routinely admitted patients to the ward HDU. This research determines whether there was a difference in outcomes between the 2 groups with the intention of changing the practice of the 2 vascular surgeons who routinely admitted their patients to the ICU. This was a nonexperimental, descriptive, prospective study of all patients who underwent carotid endarterectomy during an 18-month period between August 1999 and January 2000. A total of 104 patients were recruited to the study. There were 84 patients in the ICU cohort; 59 were male and 25 were female, with a mean age of 72 years. There were 20 patients in the ward HDU cohort; 12 were male and 8 were female, with a mean age of 66 years. Major complications occurred in 3 patients. One patient from the ICU group was returned to the operating room for evacuatio...Continue Reading

References

Aug 15, 1991·The New England Journal of Medicine·UNKNOWN North American Symptomatic Carotid Endarterectomy Trial CollaboratorsM Eliasziw
Jul 1, 1995·The Australian and New Zealand Journal of Surgery·P SubramaniamA Scott
Feb 1, 1997·The Australian and New Zealand Journal of Surgery·G M FrydmanP J Walker
Apr 30, 2002·Nursing Standard·C Bick, C Imray

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Citations

Jan 25, 2019·Anesthesia and Analgesia·Nicholas MendisUNKNOWN Canadian Perioperative Anesthesia Clinical Trials Group (PACT)

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