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Management of the Treatment Delay in Symptomatic Carotid Artery Stenosis.

Stiehm, Markus LU ; Björses, Katarina LU and Kremer, Christine LU (2013) In European Neurology 70(3-4). p.179-184
Abstract
Saving time to intervention is crucial in patients with symptomatic carotid artery stenosis (SCAS). We introduced a fast-track protocol (FTP). Time frames from the onset of symptoms to intervention before and after the introduction of an FTP were analyzed. SCAS patients (403 patients/405 procedures) were evaluated according to whether surgery was performed before (group 1) or after (group 2) the introduction of the FTP. Time frames to surgery, causes of delay and frequency of recurrent events are reported. The median time delay decreased from 17 to 12 days (p < 0.001), but time to ultrasound examination remained unchanged. Surgery was within 2 weeks in 41% in group 1 and in 57% in group 2 (p = 0.001). Of 181 (30%) patients treated... (More)
Saving time to intervention is crucial in patients with symptomatic carotid artery stenosis (SCAS). We introduced a fast-track protocol (FTP). Time frames from the onset of symptoms to intervention before and after the introduction of an FTP were analyzed. SCAS patients (403 patients/405 procedures) were evaluated according to whether surgery was performed before (group 1) or after (group 2) the introduction of the FTP. Time frames to surgery, causes of delay and frequency of recurrent events are reported. The median time delay decreased from 17 to 12 days (p < 0.001), but time to ultrasound examination remained unchanged. Surgery was within 2 weeks in 41% in group 1 and in 57% in group 2 (p = 0.001). Of 181 (30%) patients treated according to the FTP, 54 were operated within 7 days (median), and 80% had the intervention within 2 weeks. Time to surgery decreased significantly after the introduction of the FTP. © 2013 S. Karger AG, Basel. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Neurology
volume
70
issue
3-4
pages
179 - 184
publisher
Karger
external identifiers
  • wos:000326135500011
  • pmid:23949654
  • scopus:84887239010
  • pmid:23949654
ISSN
1421-9913
DOI
10.1159/000351118
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Neurology, Malmö (013027010), Unit for Clinical Vascular Disease Research (013242410)
id
dec1d11a-a4e7-49ed-8fa5-e8f66cc89fe6 (old id 4005641)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23949654?dopt=Abstract
date added to LUP
2016-04-01 10:21:53
date last changed
2022-01-25 22:30:01
@article{dec1d11a-a4e7-49ed-8fa5-e8f66cc89fe6,
  abstract     = {{Saving time to intervention is crucial in patients with symptomatic carotid artery stenosis (SCAS). We introduced a fast-track protocol (FTP). Time frames from the onset of symptoms to intervention before and after the introduction of an FTP were analyzed. SCAS patients (403 patients/405 procedures) were evaluated according to whether surgery was performed before (group 1) or after (group 2) the introduction of the FTP. Time frames to surgery, causes of delay and frequency of recurrent events are reported. The median time delay decreased from 17 to 12 days (p &lt; 0.001), but time to ultrasound examination remained unchanged. Surgery was within 2 weeks in 41% in group 1 and in 57% in group 2 (p = 0.001). Of 181 (30%) patients treated according to the FTP, 54 were operated within 7 days (median), and 80% had the intervention within 2 weeks. Time to surgery decreased significantly after the introduction of the FTP. © 2013 S. Karger AG, Basel.}},
  author       = {{Stiehm, Markus and Björses, Katarina and Kremer, Christine}},
  issn         = {{1421-9913}},
  language     = {{eng}},
  number       = {{3-4}},
  pages        = {{179--184}},
  publisher    = {{Karger}},
  series       = {{European Neurology}},
  title        = {{Management of the Treatment Delay in Symptomatic Carotid Artery Stenosis.}},
  url          = {{http://dx.doi.org/10.1159/000351118}},
  doi          = {{10.1159/000351118}},
  volume       = {{70}},
  year         = {{2013}},
}