Evidence map›Paper›PMID 39367494›Full record

ArticlePerioperative medicine (London, England)2024

The impact of preoperative stroke on 1-year mortality and days at home alive after major surgery: an observational cohort study.

Matilda Widaeus, Alva Cedermark, Max Bell

Erratum issuedAbstract read
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In one paragraph

Article in Perioperative medicine (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Matilda WidaeusDepartment of Anaesthesia and Intensive Care Medicine, Karolinska University Hospital, Stockholm, Sweden.
Alva CedermarkDepartment of Anaesthesia and Intensive Care Medicine, Karolinska University Hospital, Stockholm, Sweden.
Max BellDepartment of Anaesthesia and Intensive Care Medicine, Karolinska University Hospital, Stockholm, Sweden. max.bell@regionstockholm.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe lifetime risk of stroke is one in four people. As the population aged over 60 constantly expands, the impact of stroke on perioperative care is of increasing concern. This study investigates the effect of preoperative stroke on short- and long-term outcomes, hypothesizing that it decreases both 1-year mortality and days alive and at home up to 30 days after surgery (DAH30).

methodsThis cohort study investigated 290,306 adult patients with (7214) and without (283,092) preoperative stroke undergoing major non-cardiovascular, non-ambulatory surgery at 23 hospitals in Sweden between 2007 and 2014. Data were pre- and postoperatively matched with quality registers. Using logistic regression, significant independent risk factors influencing the risk of 1-year mortality and impeded DAH30 were identified with adjusted odds ratios calculated.

resultsPreoperative stroke was associated with higher 1-year mortality and lower DAH30, even after full adjustment for other co-morbid and surgical factors.

conclusionsThis large cohort showed preoperative stroke to impact both the patient-centered short-term outcome DAH30 and 1-year mortality. These findings should be considered in perioperative planning.

Indexed as

Cerebrovascular diseasePreoperative strokeRisk factorsSurgery

Identifiers

PMID39367494
PMCPMC11451116

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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.