Nursing intervention after carotid endarterectomy: a randomized trial of Co‐ordinated Care Post‐Discharge (CCPD)

Abstract

While nursing-led, co-ordinated care after discharge achieves important improvements for short-term outcomes, carotid endarterectomy itself may have been a catalyst for improved patient outcomes. Further research of nursing-led co-ordinated care initiatives for vascular surgery patients is needed.

Nutritional education for community dwelling older people: A systematic review of randomised controlled trials

“…One study (Ives 1993) reported that intervention groups made more effort than controls to lower cholesterol at 2-3 years, but this was not reflected in serum cholesterol. Two studies (Campbell 1998b;Middleton 2005) found no significant difference in self-reported cholesterol levels between control and intervention groups at final follow up.…”

“…The populations studied varied from the healthy (Elder 1995;Ho 1991;Patrick 1999) to the frail elderly (Boult 2001). Sixteen studies focused on specific diseases including: cardiovascular disease (Azad 2008;Barnason 2003;Campbell 1998;Harari 2004;Hjerkinn 2005;Whelton 1998;Lewin 2002;Lopez Cabezas 2006;Masley 2001;Middleton 2005;Rich 1995;Salminem 2005), chronic kidney disease (Campbell 2008), diabetes (Miller 2002a) and osteoarthritis (OA) Miller 2006). One (Ives 1993) offered screening and health promotion to participants with high cholesterol levels who were considered to be at high risk of cardiovascular disease.…”

“…Two complex intervention studies involved participants with cardiovascular disease (Lewin 2002;Middleton 2005) and measured general dietary improvement. Both found that the intervention group reported more improvements to their diet than the control.…”

Assessing Surgeons’ Disclosure of Risk Information Before Carotid Endarterectomy

“…All vascular surgeons practising in New South Wales (NSW) had previously been asked to participate in a larger study in which this present study was included 20 . Over a 7‐month period, surgeons approached consecutive patients agreeing to proceed to CEA.…”

“…All vascular surgeons practising in New South Wales (NSW) had previously been asked to participate in a larger study in which this present study was included. 20 Over a 7-month period, surgeons approached consecutive patients agreeing to proceed to CEA. Patients were ineligible for recruitment if they could not give informed consent because of an insufficient level of English, could not complete a self-administered questionnaire in English or were admitted for an emergency operation.…”