Predictors of stroke in patients undergoing cardiac surgery
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| Natura: | Artículo científico |
| Lingua: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2014
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| _version_ | 1876475010859663360 |
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| author | Handerson Nunes dos Santos |
| author_facet | Handerson Nunes dos Santos |
| contents | Predictors of stroke in patients undergoing cardiac surgery Handerson Nunes dos Santos Ellen Hettwer Magedanz João Carlos Vieira da Costa Guaragna Natalia Nunes dos Santos Luciano Cabral Albuquerque Marco Antonio Goldani João Batista Petracco Luiz Carlos Bodanese Medicina Stroke Risk Factors Heart Valves Cardiac Surgical Procedures Myocardial Revascularization bjective: To determine the risk factors related to the develop - ment of stroke in patients undergoing cardiac surgery. Methods: A historical cohort study. We included 4626 pa - tients aged ≥ 18 years who underwent coronary artery bypass surgery, heart valve replacement surgery alone or heart valve surgery combined with coronary artery bypass grafting between January 1996 and December 2011. The relationship between risk predictors and stroke was assessed by logistic regression model with a significance level of 0.05. Results: The incidence of stroke was 3% in the overall sam - ple . After logistic regression, the following risk predictors for stroke were found : age 50-65 years (OR=2.11 – 95% CI 1.05- 4.23 – P =0.036) and age ≥66 years (OR=3.22 – 95% CI 1.6-6.47 – P =0.001), urgent and emergency surgery (OR=2.03 – 95% CI 1.20-3.45 – P =0.008), aortic valve disease (OR=2.32 – 95% CI 1.18-4.56 – P =0.014), history of atrial fibrillation (OR=1.88 – 95% CI 1.05-3.34 – P =0.032), peripheral artery disease (OR=1.81 – 95% CI 1.13-2.92 – P =0.014), history of cerebrovascular disease (OR=3.42 – 95% CI 2.19-5.35 – P <0.001) and cardiopulmonary bypass time > 110 minutes (OR=1.71 – 95% CI 1.16-2.53 – P =0.007). Mortality was 31.9% in the stroke group and 8.5% in the control group (OR=5.06 – 95% CI 3.5-7.33 – P <0.001). Conclusion: The study identified the following risk predictors for stroke after cardiac surgery : age, urgent and emergency surgery, aortic valve disease , history of atrial fibrillation , pe - ripheral artery disease , history of cerebrovascular disease and cardiopulmonary bypass time > 110 minutes. 2014 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941893006 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.29 |
| format | Artículo científico |
| id | redalyc_398941893006 |
| institution | Redalyc |
| language | en |
| publishDate | 2014 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Predictors of stroke in patients undergoing cardiac surgery Handerson Nunes dos Santos Medicina Stroke Risk Factors Heart Valves Cardiac Surgical Procedures Myocardial Revascularization Predictors of stroke in patients undergoing cardiac surgery Handerson Nunes dos Santos Ellen Hettwer Magedanz João Carlos Vieira da Costa Guaragna Natalia Nunes dos Santos Luciano Cabral Albuquerque Marco Antonio Goldani João Batista Petracco Luiz Carlos Bodanese Medicina Stroke Risk Factors Heart Valves Cardiac Surgical Procedures Myocardial Revascularization bjective: To determine the risk factors related to the develop - ment of stroke in patients undergoing cardiac surgery. Methods: A historical cohort study. We included 4626 pa - tients aged ≥ 18 years who underwent coronary artery bypass surgery, heart valve replacement surgery alone or heart valve surgery combined with coronary artery bypass grafting between January 1996 and December 2011. The relationship between risk predictors and stroke was assessed by logistic regression model with a significance level of 0.05. Results: The incidence of stroke was 3% in the overall sam - ple . After logistic regression, the following risk predictors for stroke were found : age 50-65 years (OR=2.11 – 95% CI 1.05- 4.23 – P =0.036) and age ≥66 years (OR=3.22 – 95% CI 1.6-6.47 – P =0.001), urgent and emergency surgery (OR=2.03 – 95% CI 1.20-3.45 – P =0.008), aortic valve disease (OR=2.32 – 95% CI 1.18-4.56 – P =0.014), history of atrial fibrillation (OR=1.88 – 95% CI 1.05-3.34 – P =0.032), peripheral artery disease (OR=1.81 – 95% CI 1.13-2.92 – P =0.014), history of cerebrovascular disease (OR=3.42 – 95% CI 2.19-5.35 – P <0.001) and cardiopulmonary bypass time > 110 minutes (OR=1.71 – 95% CI 1.16-2.53 – P =0.007). Mortality was 31.9% in the stroke group and 8.5% in the control group (OR=5.06 – 95% CI 3.5-7.33 – P <0.001). Conclusion: The study identified the following risk predictors for stroke after cardiac surgery : age, urgent and emergency surgery, aortic valve disease , history of atrial fibrillation , pe - ripheral artery disease , history of cerebrovascular disease and cardiopulmonary bypass time > 110 minutes. 2014 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941893006 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.29 |
| title | Predictors of stroke in patients undergoing cardiac surgery |
| topic | Medicina Stroke Risk Factors Heart Valves Cardiac Surgical Procedures Myocardial Revascularization |
| url | https://www.redalyc.org/articulo.oa?id=398941893006 |