Carotid Artery Diseases, Perioperative/Postoperative Complications, Regional Anesthesia Morbidity
Conditions
Brief summary
The goal of this observational study is to assess the effect of regional versus general anesthesia on carotid endarterectomy thirty-day outcomes. The main questions it aims to answer are: * Is regional anesthesia associated with lower incidence of major morbidity and mortality? * Is regional anesthesia associated with lower incidences of secondary adverse events? Participants will be sampled from the 2015-2019 American College of Surgeons National Surgical Quality Improvement Program
Interventions
PROCEDUREAnesthetic technique (regional versus general)
Anesthetic technique (regional versus general)
Sponsors
University of Virginia
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Elective, non-emergent cases * Regional anesthesia * General anesthesia
Exclusion criteria
* Concurrency in procedures * Acute kidney injury (preoperative) * End-stage renal disease (preoperative) * Metastatic disease (preoperative) * Wound infection (preoperative) * Sepsis (preoperative) * ASA 5
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Major morbidity and mortality | Thirty days | Stoke, myocardial infarction, or death |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Minor morbidity | Thirty days | Reintubation, prolonged (\>48 hour) ventilator dependence, pneumonia, deep venous thrombosis, pulmonary embolism, superficial surgical site infection (SSI), deep incisional SSI, organ space SSI, wound dehiscence, sepsis, septic shock, acute kidney injury, and progressive renal insufficiency |
| Bleeding events | Thirty days | Requiring transfusion |
| Unplanned resource utilization | Thirty days | Unplanned readmission and unplanned reoperation |
| Mortality | Thirty days | Mortality |
Outcome results
None listed