Evidence map›Paper›PMID 35804343›Full record

ArticleBMC musculoskeletal disorders2022

Perioperative stroke in patients undergoing spinal surgery: a retrospective cohort study.

Xin Yan, Ying Pang, Lirong Yan, Zhigang Ma, Ming Jiang, Weiwei Wang, Jie Chen, Yangtong Han, Xiaolei Guo, Hongtao Hu

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Xin YanDepartment of Neurology, Beijing Jishuitan Hospital, Beijing, China. ynxn0403@163.com.
Ying PangDepartment of Neurology, Beijing Jishuitan Hospital, Beijing, China.
Lirong YanDepartment of Neurology, Beijing Jishuitan Hospital, Beijing, China.
Zhigang MaDepartment of Neurology, Beijing Jishuitan Hospital, Beijing, China.
Ming JiangDepartment of Neurology, Beijing Jishuitan Hospital, Beijing, China.
Weiwei WangDepartment of Neurology, Beijing Jishuitan Hospital, Beijing, China.
Jie ChenDepartment of Neurology, Beijing Jishuitan Hospital, Beijing, China.
Yangtong HanDepartment of Neurology, Beijing Jishuitan Hospital, Beijing, China.
Xiaolei GuoDepartment of Neurology, Beijing Jishuitan Hospital, Beijing, China.
Hongtao HuDepartment of Neurology, Beijing Jishuitan Hospital, Beijing, China.
Peking University · CNBeijing Jishuitan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of perioperative stroke following spinal surgery, including ischemic and hemorrhagic stroke, has not been fully investigated in the Chinese population. Whether specific spinal or emergency/elective procedures are associated with perioperative stroke remains controversial. This study aimed to investigate the incidence of perioperative stroke, health economic burden, clinical outcomes, and associated risk factors.

methodA retrospective cohort study using an electronic hospital information system database was conducted from Jan 1, 2015, to Jan 1, 2021, in a tertiary hospital in China. Patients aged ≥18 years who had undergone spinal surgery were included in the study. We recorded patient demographics, comorbidities, and health economics data. Clinical outcomes included perioperative stroke during hospitalization and associated risk factors. The patients' operative data, anesthetic data, and clinical manifestations were recorded.

resultA total of 17,408 patients who had undergone spinal surgery were included in this study. Twelve patients had perioperative stroke, including seven ischemic stroke (58.3%) and five hemorrhagic stroke (41.7%). The incidence of perioperative stroke was 0.07% (12/17,408). In total, 12 stroke patients underwent spinal fusion. Patients with perioperative stroke were associated with longer hospital stay (38.33 days vs. 9.78 days, p < 0.001) and higher hospital expenses (RMB 175,642 vs. RMB 81,114, p < 0.001). On discharge, 50% of perioperative patients had severe outcomes. The average onset time of perioperative stroke was 1.3 days after surgery. Stroke history (OR 146.046, 95% CI: 28.102-759.006, p < 0.001) and hyperlipidemia (OR 4.490, 95% CI: 1.182-17.060, p = 0.027) were associated with perioperative stroke.

conclusionThe incidence of perioperative stroke of spinal surgery in a tertiary hospital in China was 0.07%, with a high proportion of hemorrhagic stroke. Perioperative stroke patients experienced a heavy financial burden and severe outcomes. A previous stroke history and hyperlipidemia were associated with perioperative stroke.

Indexed as

Hemorrhagic StrokeSpinal FusionStrokeAdolescentAdultHumansNeurosurgical ProceduresPostoperative ComplicationsRetrospective StudiesRisk FactorsHemorrhagic strokeIncidenceIschemic strokePerioperative strokeRisk factorSpinal surgery

Identifiers

PMID35804343
PMCPMC9264537
OpenAlexW4284883989

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.