XXXX following carotid endarterectomy does not affect early discharge.

@entity1 @entity101 @entity299 @entity86 @entity1344 @entity551
Over the last few years, there has been increased emphasis on early discharge of @entity1 following carotid endarterectomy in the United States. Recent studies have shown that short-stay hospitalization for carotid endarterectomy may be safe and cost-effective. However, this is not always possible because of reasons that are not clearly delineated. In order to optimize the early discharge of @entity1 following carotid endarterectomy, an analysis of the causes of delayed discharges was performed in the present series. Since @entity1344 has been shown to be the most frequent complication following carotid endarterectomy, the authors investigated whether it was an important factor preventing early @entity86 . This study reviewed the data of 100 consecutive @entity1 admitted for elective carotid endarterectomy. The incidence of post-carotid endarterectomy @entity1344 was 37% (n = 37), with @entity101 occurring in 25 @entity1 (68%) and @entity551 occurring in 12 @entity1 (32%). @entity1344 tended to occur with the use of general anesthesia as compared with regional anesthesia. @entity1344 did not correlate with pre-existent history of @entity101 , nor with the type of drug used when general anesthesia was applied. All the @entity1 were successfully treated either in the recovery room or in a monitored area. The average total length of stay was 1.65 days with 79% of the @entity1 being discharged on the first postoperative day and 21% having delayed discharge ranging from 2 to 15 days (mean 4 days). The main reasons for delayed discharges were @entity299 . Blood pressure instability accounted for only 2% of cases. Thus, these data show that @entity1344 does not significantly affect early discharge.
