Why the study?
What are the 30-day mortality and stroke rates following carotid surgery performed in community hospitals?
What are the 30-day mortality and stroke rates following carotid surgery performed in community hospitals?
Carotid surgery can be performed in community hospitals without cerebral monitoring with low 30-day mortality (0.2%) and stroke (3%) rates.
Supports feasibility of unmonitored carotid surgery in community hospitals; leaves open generalizability pending larger prospective studies.
Over a 12-year period, 467 consecutive operations for carotid disease were performed on 424 patients in community hospitals. Of all the patients, 0.2% died within 30 days of surgery and 3% had a stroke within 30 days. One third of these strokes were disabling. No cerebral monitoring equipment was used and an indwelling carotid shunt was only rarely used.
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J. Donald Carmichael (1980) studied this question.
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