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Changing trends in surgical treatment of carotid disease in Ireland (1996–2003)

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Abstract

Background

Carotid endarterectomy (CEA) is a well-established method of stroke prevention in patients with symptomatic, high-grade internal carotid artery stenosis.

Aims

To assess the change in carotid surgery practice in health board regions in Ireland over two different time periods in the past 11 years (1996–1998/2001–2003).

Methods

Numbers of discharges of patients with a procedure code CEA (38.12) between 1996–1998 and 2001–2003 were obtained from the Hospital In-Patient Enquiry (HIPE) database maintained by the Economic and Social Research Institute (ESRI). Population data was obtained from national censuses.

Results

There has been considerable change in the level of carotid surgery activity in specific health board regions between the two periods.

Conclusions

Still no region comes close to achieving levels of CEA recommended by population studies. This is important in the context of the MRC asymptomatic carotid surgery trial (ACST), as the numbers suitable for CEA will probably increase further in the future.

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Acknowledgments

The authors wish to acknowledge the assistance of Professor Miriam Wiley and Ms.Aisling Mulligan of the Economic and Social Research Institute (ESRI) and the staff of The Central Statistics Office

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Authors and Affiliations

  1. Department of Vascular Surgery, The Adelaide and Meath Hospital incorporating the National Children’s Hospital (AMNCH), Tallaght, Dublin 24, Republic of Ireland

    M. R. Quinlan, B. Egan, T. M. Feeley & S. Tierney

Authors
  1. M. R. Quinlan
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  2. B. Egan
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  3. T. M. Feeley
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  4. S. Tierney
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Corresponding author

Correspondence to M. R. Quinlan.

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Quinlan, M.R., Egan, B., Feeley, T.M. et al. Changing trends in surgical treatment of carotid disease in Ireland (1996–2003). Ir J Med Sci 177, 193–196 (2008). https://doi.org/10.1007/s11845-008-0178-3

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  • DOI: https://doi.org/10.1007/s11845-008-0178-3

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