Declining morbidity and mortality of carotid endarterectomy. The Wake Forest University Medical Center experience.
Why the study?
Does the implementation of quality control measures reduce 30-day morbidity and mortality in patients undergoing carotid endarterectomy?
Population
356 patients undergoing 389 carotid endarterectomy operations at Wake Forest University Medical Center from…
Comparison
Carotid endarterectomy performed following the… vs Historical cohort from a previous 1978 report.
Design
Cohort
Follow-up
30-day
Authors
Discussion
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Member takes
Implication
Quality control measures were associated with low carotid endarterectomy risks; extends historical benchmarks but leaves causal effects open.
Structured PICO
Does the implementation of quality control measures reduce 30-day morbidity and mortality in patients undergoing carotid endarterectomy?
P
Population
356 patients undergoing 389 carotid endarterectomy operations (155 asymptomatic, 234 symptomatic) at Wake Forest University Medical Center from 1979 through 1983.
I
Intervention
Carotid endarterectomy performed following the implementation of quality control measures.
C
Comparator
Historical cohort from a previous 1978 report (which had 16% morbidity and 6% mortality).
O
Outcome
30-day mortality and morbidity for stroke and myocardial infarction.hard clinical
The implementation of quality control measures for carotid endarterectomy was associated with a dramatic and sustained reduction in 30-day perioperative morbidity and mortality.
Cite This Study
Till et al. (1987) studied this question.