title: [Quality control in carotid surgery. Results from the carotid surgery records in Central region of Spain (1999-2000)].
abstract: OBJECTIVE
  Evaluation of technique and results of carotid endarterectomy (CEA) in the central region in Spain and possible differences among the hospitals included. Study of factors predictors of complications.
  
  
  METHODS
  All CEAs performed in 9 hospitals in the central region in Spain (1999 2000). Registry design by a specific commission and contents selected by consensus. Voluntary participation. Ambispective study. Uni and multivariate statistical analysis (logistic regression).
  
  
  RESULTS
  576 procedures registered. Global mortality: 1.9%. 15 (2.7%) patients died or were severely handicapped. The selection of patients adjusted to expert s recommendations in 98%. Significant differences in technique and results were found among the hospital centres (>0,25). In the multivariate analysis, the risk factors associated with complications were: presence of preoperative symptoms (p= 0.006) small number of annual CEAs (p= 0.01), contralateral occlusion (RR= 4.7, p= 0.02) and use of shunt (RR= 6.1, p= 0.01).
  
  
  CONCLUSIONS
  Globally, both the selection of patients and the results obtained adjust to the accepted standards for this type of surgery. The patient s risk profile has had a greater influence on the results than the technique used. The mortality rate has been influenced by the low volume hospitals
authors.affiliation: Hospital Clinico Universitario San Carlos, Madrid, España. angcva@hcsc.insalud.es
authors.forename: M T
authors.initials: MT
authors.lastname: Reina Gutiérrez
authors.forename: A
authors.initials: A
authors.lastname: Arribas Díaz
authors.forename: J A
authors.initials: JA
authors.lastname: Masegosa Medina
authors.forename: J
authors.initials: J
authors.lastname: Porto Rodríguez
authors.forename: F J
authors.initials: FJ
authors.lastname: Serrano Hernando
mesh_terms: D002339:Carotid Arteries / Q000601:surgery*; D011786:Quality Control; D013030:Spain