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Comparative Study
. 1995 Feb;9(2):176-80.
doi: 10.1016/s1078-5884(05)80087-5.

The changing workload of a surgical unit with a vascular interest

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Free article
Comparative Study

The changing workload of a surgical unit with a vascular interest

J S Budd et al. Eur J Vasc Endovasc Surg. 1995 Feb.
Free article

Abstract

Objectives: To examine the changing relationship between general and vascular surgical workload on a vascular "firm", over a 6-year period.

Design: Retrospective review.

Setting: Leicester Royal Infirmary and Professorial Surgical Unit, U.K. 1987-1992.

Method: Analysis of audit of all surgical admissions. Relation of vascular surgery to general surgery.

Results: There has been a slight decrease (5%) in the number of general surgical elective admissions. Overall, the number of general surgical admissions, both elective and emergency, show a slight increase of about 3%. In contrast the number of vascular admissions increased by 42%. Of the general surgical procedures carried out 75.9% were either minor or intermediate, whereas 92.5% of vascular procedures were coded as major or higher. There has been a three times increase in the number of carotid endarterectomies, a similar increase in the number of the femorodistal bypass grafts and a halving of the number of major amputations. There has also been a five times increase in the number of angioplasties carried out.

Conclusions: Our figures show the progressive, rapid increase in vascular surgical workload, compared to general surgery, and the need for the continued expansion of vascular surgery as a speciality.

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