Compliance of carotid endarterectomy pathway at a vascular unit: A regional audit.
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Authors
Hakeem, A.
Najem, M.
Issue Date
2022
Type
Published Abstract
Language
Keywords
Research Subject Categories::MEDICINE::Surgery::Surgical research::Vascular surgery
Alternative Title
Abstract
Aim
To identify reasons for delays in a pathway for patients presenting with Transient Ischemic Attack (TIA) and requiring Carotid Endarterectomy (CEA).
Method
Bedford hospital is a vascular unit covering 3 hospitals (Bedford, Milton Keynes and Luton Hospital) requiring a complex referral system. Patients who develop TIA secondary to carotid disease are referred to the vascular team. This audit includes patients who underwent carotid endarterectomy from Dec 2020 to Jun 2021. Data was initially collected and analysed as a single vascular unit. The analysis included all steps of referrals and investigations, a subset of data was analysed to identify delays related to each hospital.
Results
A total of 73 patients were included in the analysis, overall delays (>14 Days) from the onset of symptoms to surgery was 57.5%, the delays were 19 (55%) at LDH, 14 (50%) BHT, 9 (90%) at MKUH. 41 (56%) were delayed referrals to the vascular team. 36 (49%) delays were related to factors after the referral was made. 8 (10%) patients had secondary events awaiting CEA.
Conclusions
The audit demonstrated that there were significant delays in the carotid endarterectomy referral pathway, there were patients who had delays at multiple levels, delays can be due to the complex referral system between 3 different hospitals. 10% of the patients had developed secondary events while awaiting treatment.
Description
Citation
A Hakeem, M Najem, 649 Compliance of Carotid Endarterectomy Pathway at a Vascular Unit - a Regional Audit, BJS, Volume 109, Issue Supplement_6, September 2022, znac269.534, https://doi.org/10.1093/bjs/znac269.534