Preoperative stroke before cardiac surgery does not increase risk of postoperative stroke

Abstract The optimal time when surgery can be safely performed after stroke is unknown. The purpose of this study was to investigate how cardiac surgery timing after stroke impacts postoperative outcomes between 2011–2017 were reviewed. Variables were extracted from the institutional Society of Thor...

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Autores principales:	Caleb R. Matthews, Timothy Hartman, Mackenzie Madison, Nicolas W. Villelli, Niharika Namburi, Cameron L. Colgate, Zainab Faiza, Lawrence S. Lee
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5597ee3f924040da8890b0727b7dcf21
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spelling	oai:doaj.org-article:5597ee3f924040da8890b0727b7dcf212021-12-02T17:39:32ZPreoperative stroke before cardiac surgery does not increase risk of postoperative stroke10.1038/s41598-021-88441-y2045-2322https://doaj.org/article/5597ee3f924040da8890b0727b7dcf212021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88441-yhttps://doaj.org/toc/2045-2322Abstract The optimal time when surgery can be safely performed after stroke is unknown. The purpose of this study was to investigate how cardiac surgery timing after stroke impacts postoperative outcomes between 2011–2017 were reviewed. Variables were extracted from the institutional Society of Thoracic Surgeons database, statewide patient registry, and medical records. Subjects were classified based upon presence of endocarditis and further grouped by timing of preoperative stroke relative to cardiac surgery: Recent (stroke within two weeks before surgery), Intermediate (between two and six weeks before), and Remote (greater than six weeks before). Postoperative outcomes were compared amongst groups. 157 patients were included: 54 in endocarditis and 103 in non-endocarditis, with 47 in Recent, 26 in Intermediate, and 84 in Remote. 30-day mortality and postoperative stroke rate were similar across the three subgroups for both endocarditis and non-endocarditis. Of patients with postoperative stroke, mortality was 30% (95% CI 4.6–66). Timing of cardiac surgery after stroke occurrence does not seem to affect postoperative stroke or mortality. If postoperative stroke does occur, subsequent stroke-related mortality is high.Caleb R. MatthewsTimothy HartmanMackenzie MadisonNicolas W. VillelliNiharika NamburiCameron L. ColgateZainab FaizaLawrence S. LeeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Caleb R. Matthews Timothy Hartman Mackenzie Madison Nicolas W. Villelli Niharika Namburi Cameron L. Colgate Zainab Faiza Lawrence S. Lee Preoperative stroke before cardiac surgery does not increase risk of postoperative stroke
description	Abstract The optimal time when surgery can be safely performed after stroke is unknown. The purpose of this study was to investigate how cardiac surgery timing after stroke impacts postoperative outcomes between 2011–2017 were reviewed. Variables were extracted from the institutional Society of Thoracic Surgeons database, statewide patient registry, and medical records. Subjects were classified based upon presence of endocarditis and further grouped by timing of preoperative stroke relative to cardiac surgery: Recent (stroke within two weeks before surgery), Intermediate (between two and six weeks before), and Remote (greater than six weeks before). Postoperative outcomes were compared amongst groups. 157 patients were included: 54 in endocarditis and 103 in non-endocarditis, with 47 in Recent, 26 in Intermediate, and 84 in Remote. 30-day mortality and postoperative stroke rate were similar across the three subgroups for both endocarditis and non-endocarditis. Of patients with postoperative stroke, mortality was 30% (95% CI 4.6–66). Timing of cardiac surgery after stroke occurrence does not seem to affect postoperative stroke or mortality. If postoperative stroke does occur, subsequent stroke-related mortality is high.
format	article
author	Caleb R. Matthews Timothy Hartman Mackenzie Madison Nicolas W. Villelli Niharika Namburi Cameron L. Colgate Zainab Faiza Lawrence S. Lee
author_facet	Caleb R. Matthews Timothy Hartman Mackenzie Madison Nicolas W. Villelli Niharika Namburi Cameron L. Colgate Zainab Faiza Lawrence S. Lee
author_sort	Caleb R. Matthews
title	Preoperative stroke before cardiac surgery does not increase risk of postoperative stroke
title_short	Preoperative stroke before cardiac surgery does not increase risk of postoperative stroke
title_full	Preoperative stroke before cardiac surgery does not increase risk of postoperative stroke
title_fullStr	Preoperative stroke before cardiac surgery does not increase risk of postoperative stroke
title_full_unstemmed	Preoperative stroke before cardiac surgery does not increase risk of postoperative stroke
title_sort	preoperative stroke before cardiac surgery does not increase risk of postoperative stroke
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5597ee3f924040da8890b0727b7dcf21
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Preoperative stroke before cardiac surgery does not increase risk of postoperative stroke

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