Abstract：
INTRODUCTION:Rapid-access carotid endarterectomy (RACE) is an evidence-based treatment for symptomatic carotid stenosis. Our vascular centre aims to provide this service within 48 h of symptoms in appropriate patients. This study audits safety and efficacy of the first year of RACE. SUBJECTS AND METHODS:A clear trust protocol was publicised for the RACE pathway. A prospective database was established for all carotid endarterectomies (CEAs) performed. Outcomes were compared between elective (ECE) and rapid-access operations. RESULTS:In 1 year, 96 patients received CE; 20 were performed urgently. There were no significant differences in age or gender between ECE and RACE groups. Twenty-three (30%) of ECE were for asymptomatic stenoses; no other significant differences in surgical indication were seen. Of symptomatic ECE, 43% were for completed stroke versus 55% for RACE. Median delay between diagnosis and surgery was 113 days for elective and 2 days for RACE patients. There was one death following ECE (1.3%) and one stroke after RACE (5%), all not significant. Anaesthetic method did not influence outcome. The main reasons for delaying surgery in RACE patients were optimisation of patient fitness and availability of theatre time. CONCLUSIONS:The RACE pathway dramatically reduces delay without compromising patient safety. In the first year of service, we have treated 50% of suitable patients within 48 h. Further education of patients and colleagues should reduce delay and improve outcomes for symptomatic carotid disease.
journal_name
Ann R Coll Surg Engljournal_title
Annals of the Royal College of Surgeons of Englandauthors
Rix TE,Singh I,Insall R,Senaratne Jdoi
10.1308/003588410X12699663904916subject
Has Abstractpub_date
2010-11-01 00:00:00pages
647-50issue
8eissn
0035-8843issn
1478-7083pii
578journal_volume
92pub_type
杂志文章,多中心研究abstract：:We have reviewed the results of treatment of 159 consecutive limbs presenting with a clinical diagnosis of venous ulcer in 140 patients (70 male, aged 28-90 years, median 66 years). Of the patients, 61% were referred because of severe pain and 53% of the ulcers had been present > 2 years. Patients were evaluated clini...
journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：:The distribution of histological types, presenting symptoms, and treatment in a series of 29 cases of carcinoma of the thyroid gland are described. The treatment policy adopted in such cases is outlined. ...
journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1981-09-01 00:00:00
abstract：:The first 50 patients who underwent arthroscopic surgery as a half-day procedure in Doncaster Royal Infirmary were studied: 22 patients underwent an arthroscopic meniscectomy and 6 patients had other procedures. The mean return-to-work time for meniscectomy patients was 23.9 days. The cost improvement per patient, whe...
journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1988-07-01 00:00:00
abstract：INTRODUCTION:We performed a retrospective radiological audit of the hip resurfacings carried out in our trust over a five-year period. Abnormal cup inclination angle (CIA) and stem shaft angle (SSA) are recognised risk factors for revision in hip resurfacing. Our aims were to identify the CIA and SSA for hip resurfacin...
journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/003588411X571115
更新日期：2011-05-01 00:00:00
abstract：:Despite published criteria predicting poor survival after operation for ruptured abdominal aortic aneurysm (RAAA), little is known about the factors which influence surgeons not to operate. Questionnaires were sent to all 404 members of the Vascular Surgical Society of Great Britain and Ireland, posing questions about...
journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
abstract：INTRODUCTION:Admission for overnight or longer hospital stay from a day-case unit is an unwelcome event. This audit was designed to identify the incidence of unplanned admissions and also to detect the potential factors for such overstays. PATIENTS AND METHODS:Details of plastic surgical day-case patients were obtaine...
journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/003588405X60560
更新日期：2005-11-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1999-09-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/003588406X98685
更新日期：2006-05-01 00:00:00
abstract：INTRODUCTION:Advanced (pT2/T3) incidental gallbladder cancer is often deemed unresectable after restaging. This study assesses the impact of the primary operation, tumour characteristics and timing of management on re-resection. METHODS:The records of 60 consecutive referrals for incidental gallbladder cancer in a sin...
journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/003588414X14055925060073
更新日期：2015-03-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/003588408X242097
更新日期：2008-03-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
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更新日期：2016-02-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1986-05-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：2002-05-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章,评审
doi：10.1308/003588402760452394
更新日期：2002-09-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：2001-01-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/rcsann.2016.0244
更新日期：2017-01-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1996-11-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1994-05-01 00:00:00
abstract：:Thirty-seven patients who had had either a colonoscopy or a selective mesenteric angiogram while being investigated for severe or persistent gastrointestinal bleeding of obscure origin were reviewed. Failure to make a prompt diagnosis was partly responsible for the 16% hospital mortality in the series. Colonoscopy was...
journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1986-09-01 00:00:00
abstract：INTRODUCTION:Intestinal intubation with a Jones' tube has been suggested to reduce the incidence of recurrent adhesive obstruction. This paper describes our experience of this technique. PATIENTS AND METHODS:A retrospective case-note review was performed on 68 patients admitted to a teaching hospital who were identifi...
journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/003588409X358999
更新日期：2009-01-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1999-03-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：10.1308/003588405X60579
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1992-09-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1987-05-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章,评审
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更新日期：2007-07-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
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更新日期：2019-09-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1986-01-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章,评审
doi：
更新日期：2001-11-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 临床试验,杂志文章
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更新日期：1995-01-01 00:00:00
