ArticleJournal of stroke2019
The Incidence of Perioperative Stroke: Estimate Using State and National Databases and Systematic Review.
Article in Journal of stroke, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Topography and functional connectivity analysis of heart surgery-associated brain lesions: a literature review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Pooled it
- Article
- A Systematic Review of How Cardiopulmonary Bypass Parameters Influence Electroencephalogram Signals.Brain sciences · 2026Review
- Sleep Disorders and Perioperative Stroke: A Global Bibliometric Analysis from 1999 to 2024.Nature and science of sleep · 2026Article
- Clinical and Prognostic Features of Perioperative Stroke: A Multicenter Retrospective Cohort Study.Cerebrovascular diseases extra · 2026Article
- ATF5-Dependent GDF15 Expression Mediates Anesthesia-Induced Neuroprotection Against Stroke.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026Article
- Protease-Activated Receptors (PARs): Biology and Therapeutic Potential in Perioperative Stroke.Translational stroke research · 2025Review
- Impact of perioperative organ injury on morbidity and mortality in 28 million surgical patients.Nature communications · 2025Article
- Research progress on risk factors for in-stent restenosis following cerebrovascular stent implantation.Frontiers in neurology · 2025Review
- The correlation analysis between preoperative cerebral small vessel disease and carotid plaque echo characteristics.Frontiers in neurology · 2025Article
- Perioperative stroke.Nature reviews. Disease primers · 2024Review
- Detecting Cerebral Ischemia From Electroencephalography During Carotid Endarterectomy Using Machine Learning.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2024Article
- DAANISH: A mnemonic to aid in memorizing and recalling important strategies contributing to the prevention of perioperative stroke.Qatar medical journal · 2024Review
- Risk factors for postoperative acute ischemic stroke in advanced-aged patients with previous stroke undergoing noncardiac surgery: a retrospective cohort study.BMC surgery · 2023Article
- Risk factor analysis of postoperative cerebral infarction in thoracic surgery patients by propensity-score matching-a single institution retrospective cohort study.Journal of thoracic disease · 2023Article
- Association of Time to Surgery After COVID-19 Infection With Risk of Postoperative Cardiovascular Morbidity.JAMA network open · 2022Article
- Total Joint Arthroplasty in Patients With Atrial Septal Defects: What Are the 90-Day Complications?Arthroplasty today · 2022Article
- Neurofilament Light Chain: A Candidate Biomarker of Perioperative Stroke.Frontiers in aging neuroscience · 2022Review
- Intraoperative hypotension and perioperative acute ischemic stroke in patients having major elective non-cardiovascular non-neurological surgery.Journal of anesthesia · 2021Article
- Perioperative stroke after non-cardiac, non-neurological surgery.BJA education · 2021Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposePerioperative stroke remains a devastating complication after surgical procedures, due to hemodynamic and inflammatory changes that increase the risk of strokes within 30 days following surgery. We aimed to assess the incidence of perioperative strokes in patients undergoing various surgical procedures and reach a national estimate.
methodsA retrospective cohort study was conducted using California State Inpatient Databases, State Emergency Department Databases, State Ambulatory Surgery and Services Databases, and the National Inpatient Sample (NIS) during the period 2008 to 2011 from the Healthcare Cost and Utilization Project. A systematic review was conducted using PubMed, Embase, and Web of Science databases to obtain published articles that reported the incidence of perioperative stroke in various surgical procedures.
resultsAnalysis of 3,694,410 surgical encounters from the state of California (mean±standard deviation age: 52.4±21.1 years) yielded an overall rate of perioperative stroke of 0.32% (n=11,759). The incidence of perioperative strokes was highest following neurological (1.25%), vascular (1.07%), and cardiac (0.98%) surgeries. The NIS database contained a total of 48,672,974 weighted hospitalizations and yielded a rate of perioperative stroke of 0.42% (n=204,549). The systematic review completed yielded 187 articles, which had an overall sample size of 184,922 and an incidence of perioperative stroke ranging from 0% to 13.86%. It is estimated that in any given year, there would be approximately 40,000 to 55,000 (0.33% to 0.46%) perioperative strokes nationally.
conclusions Our findings support further strategies to identify and stratify patients undergoing surgical procedures with a high incidence of perioperative strokes to improve patient counseling and a future potential treatment plan.
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