Cardiothoracic & vascular anesthesia
Outcomes Following Perioperative Stroke in Cardiac Surgery Patients: A Retrospective Cohort Study
Authors' conclusion
Cardiac perioperative strokes are associated with high rates of nonhome discharge and mortality, and those occurring sooner after cardiac surgery were associated with higher mortality, in addition to other factors. Outcomes did not change significantly over the 15-year study period.
Study context
- Population
- Cardiac surgery patients with perioperative stroke, American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database 2005–2020
- Participants
- 906 patients
- Outcome
- 30-day mortality
- Follow-up
- 30 days
Methodological detailsregistry database (ACS-NSQIP)
- Registry database (ACS-NSQIP)
Main finding
As reported in the abstract
Died
15%
134/906
Predictors of 30-day mortality: increasing age, postoperative complications, fewer days from operation to stroke, increased operative time (C-statistic)
0.794
Observational data: associations, not effects.
Further findings
Discharge to a nonhome facility
- Discharged to a facility that was not home
- 52% (351/906)
Timing of perioperative stroke after surgery
- Median (IQR) days after surgery
- 4 days (2-8 days)
Temporal trends in mortality or adverse discharge, 2005–2020
- No significant temporal changes over the 15-year study period
Original publication
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