Perioperative strokes after coronary artery bypass grafting with staged carotid endarterectomy: A nationwide perspective

Journal of Clinical Anesthesia
Hannah ChengParthasarathy D Thirumala

Abstract

To examine the risk of perioperative stroke on in-hospital morbidity and mortality in staged coronary artery bypass grafting (CABG) and carotid endarterectomy (CEA) procedures. The National Inpatient Sample (NIS) database was used to extract data on all patients who underwent staged CABG CEA procedures. They were identified using the ICD-9 (International Classification of Diseases, Ninth Revision-Clinical Modification) diagnosis and procedure codes. Multi-institutional. Patients who underwent staged CABG and CEA from 1999 to 2011. Staged CABG and CEA procedures. Various pre-operative, and perioperative risk factors and their association with in-hospital mortality and morbidity were studied. The study cohort was grouped into 2761 patients who underwent staged CEA and CABG. The average age of the patient population was 69years. An in-hospital mortality of 4.96% (137) was observed. Staged procedures showed a morbidity rate of 69.21%. Patients with perioperative strokes had a mortality rate of 16.73% following staged procedures. Other notable risk factors for mortality and morbidity were post-operative myocardial infarction (MI) and congestive heart failure (CHF). Analysis of 2761 patients over a period of 12years (1999-2011) indic...Continue Reading

Citations

Feb 15, 2018·Korean journal of anesthesiology·Sang-Bae Ko
Oct 9, 2019·Journal of Stroke·Rami Al-HaderParthasarathy D Thirumala
Dec 14, 2018·BMC Health Services Research·Gildasio S De OliveiraRobert J McCarthy
Apr 29, 2021·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·M A KutlubaevR F Kutlubaeva
Aug 14, 2018·Journal of Clinical Anesthesia·Mark C KendallChristopher J Malgieri

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