TPTh 5.11 An Audit of Carotid Symptoms to Referral Time would be helpful in Developing the Carotid Pathway to Improve Timely Referrals
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2026
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Abstract
Abstract Aim This audit aimed to assess the interval from carotid symptom onset to vascular surgery referral and subsequent carotid endarterectomy, benchmarking local performance against national standards and identifying areas for pathway improvement. Method A retrospective review was conducted on 41 patients who underwent carotid endarterectomy at the vascular unit between May 2023 and May 2024. Clinical data were extracted from the National Vascular Registry and patient case files, analyzed via Excel and Google Forms, with outlier cutoff at 3 months. Key metrics included symptom-to-referral and symptom-to-surgery intervals, perioperative outcomes, and compliance with recommended timelines. Results Sixty percent of patients received carotid surgery within 14 days of symptom onset, outperforming the 49% national rate in 2023. The median delay from index symptoms to surgery was 13 days (national median: 14 days), and the average hospital stay was two days, matching national performance. Notably, there were no post-operative deaths. However, the adjusted stroke and death rate was 2.5%, slightly above the national figure of 1.9%. Only 60% of referrals occurred within seven days of symptoms, compared to 72% nationally. Conclusions Carotid surgery services demonstrated efficiency and timely intervention, yet opportunities exist to further reduce the interval from symptom onset to surgery. Early referral and prioritization of recently symptomatic carotid stenosis can help optimize patient outcomes and decrease stroke-related morbidity and mortality.
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| Authors | Shafayat Imteaz, Own Al-Massarweh, Ron Eifell |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.478
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| Keywords | Keywords not found |
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