vascular surgery
Restructuring of the UK Vascular Services: does the hub versus spoke model affect patient mortality in ruptured abdominal aortic aneurysms?
Introduction Ruptured abdominal aortic aneurysms (AAA) are a frequently fatal vascular condition with a mortality rate of up to 80%.1 The Office for National Statistics (ONS) identified over 4,000 deaths from aortic aneurysm and dissection in England and Wales in 2019, with the highest prevalence in men over 65 years old.2 Current management involves either…
Read MoreThe CRG for Vascular Services
The last decade has witnessed a number of changes in the delivery of vascular services nationwide. Vascular surgery attained speciality status in 2012, and is well recognised as an urgent and emergent speciality delivering time-dependent care for patients with aortic aneurysms, carotid surgery for stroke prevention and lower limb revascularisation for critical limb-threatening ischaemia. The…
Read MoreFrailty Assessment in UK Vascular Centres (FAVE): a survey to investigate data collection methods and impact on clinical practice
Introduction The importance of frailty as a clinical syndrome is gaining momentum in surgical specialties. Frailty is defined as ‘a state of vulnerability to a stressor event, triggering disproportionate changes in health status’.1 Increasing age may lead to the clinical condition of frailty.1 In the UK, three quarters of patients presenting with vascular disease are…
Read MoreThe impact of the COronaVIrus Disease 2019 (COVID-19) pandemic on the clinical management of patients with vascular diseases: findings from Tier 3 of the COVID-19 Vascular sERvice (COVER) study
Introduction The COronaVIrus 2019 (COVID-19) pandemic resulted in major changes in medical practice and clinical decision-making. Throughout the pandemic, the decision of whether, and how, to offer medical or surgical treatments was influenced by several factors such as COVID-19 positivity, patients’ risk of contracting COVID-19 whilst receiving treatment, resource rationing, staff shortages and government guidelines.1,2…
Read MoreOutcomes of vascular interventions for chronic limb-threatening ischaemia in nonagenarians
Introduction The ageing population is growing. In 2020 there were 609,503 UK residents aged 90 and over, an increase of more than 2.5 times in the past 30 years.1 Cardiovascular disease is a large contributor to morbidity and mortality in this age group,2 and consequently older patients are being referred for vascular surgery evaluation.3 Given…
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