scholarly journals External Validation of the Vascular Study Group of New England Risk Predictive Model of Adverse Outcomes After Carotid Endarterectomy in Procedure-Targeted American College of Surgeons National Surgical Quality Improvement Program Database

2017 ◽  
Vol 66 (2) ◽  
pp. e9
Author(s):  
Mohammad H. Eslami ◽  
Alik Farber ◽  
Efthymios D. Avgerinos ◽  
Michel S. Makaroun
Keyword(s):  
Quality Improvement ◽  
New England ◽  
Carotid Endarterectomy ◽  
Predictive Model ◽  
External Validation ◽  
Adverse Outcomes ◽  
Study Group ◽  
Improvement Program ◽  
Surgical Quality ◽  
American College Of Surgeons

Carotid Endarterectomy in Patients With Thrombocytopenia: Analysis of the National Surgical Quality Improvement Program Registry

2016 ◽  
Vol 13 (1) ◽  
pp. 150-156 ◽  
Author(s):  
Adnan I. Qureshi ◽  
Aiman Zafar ◽  
Muhammad Shah Miran ◽  
Vishal B. Jani
Keyword(s):  
Quality Improvement ◽  
Carotid Endarterectomy ◽  
Patient Characteristics ◽  
Quality Improvement Program ◽  
Comorbid Conditions ◽  
Forward Selection ◽  
Improvement Program ◽  
Surgical Quality ◽  
American College Of Surgeons ◽  
Ventilator Requirement

AbstractBACKGROUND: Carotid endarterectomy (CEA) is infrequently performed in patients with mild to moderate thrombocytopenia.OBJECTIVE: To determine whether preoperative thrombocytopenia is associated with a higher rate of complications after CEA.METHODS: We analyzed patient characteristics, comorbid conditions, operative details, and 30-day postoperative outcomes for patients who underwent CEA in the CEA-targeted American College of Surgeons National Surgical Quality Improvement Program Registry. Thrombocytopenia was defined based on the preprocedure platelet count of ≤150  000 platelets/μL. The odds ratios (ORs) for selected outcomes were calculated using logistic regression with stepwise forward selection with age, sex, symptomatic status, and high-risk individuals as potential confounders.RESULTS: Thrombocytopenia was present in 896 of 8658 patients (10.3%) who underwent CEA: mild (100 000-149 000 platelets/μL) and moderate (50 000-99 000 platelets/μL) in 805 patients (89.8%) and 91 patients (10.2%), respectively. The adjusted rates of myocardial infarction/arrhythmia (3.7% vs 1.8%; OR: 1.9; 95% confidence interval [CI]: 1.3-2.8; P = .001), unplanned intubations (2.6% vs 1.2%; OR: 2.2; 95% CI: 1.4-3.5; P = .001), ventilator requirement >48 hours (1.5% vs 0.7%; OR: 2.1; 95% CI: 1.1-3.8; P = .02), deep venous thrombosis/thrombophlebitis (0.7% vs 0.2%; OR: 3.7; 95% CI: 1.4-9.7; P = .01), and surgical deep incisional infections (0.3% vs 0.1%; OR: 4.3; 95% CI: 1.1-17.4; P = .04) post-CEA were higher among patients with thrombocytopenia compared with those without thrombocytopenia. Thrombocytopenia did not significantly contribute to 1-month mortality or stroke.CONCLUSION: The higher rate of postprocedure complications in patients with preoperative thrombocytopenia needs to be recognized for adequate risk stratification before CEA.

External validation of the Vascular Study Group of New England carotid endarterectomy risk predictive model using an independent U.S. national surgical database

2020 ◽  
Vol 71 (6) ◽  
pp. 1954-1963
Author(s):  
Mohammad H. Eslami ◽  
Zein Saadeddin ◽  
Alik Farber ◽  
Larry Fish ◽  
Efthymios D. Avgerinos ◽  
...  
Keyword(s):  
New England ◽  
Carotid Endarterectomy ◽  
Predictive Model ◽  
External Validation ◽  
Study Group
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