If you need this type of surgery ask your doctor how they are reducing these post operative events.
Rate of Death and MI After Non-Cardiac Surgery Decreases, But Risk of Stroke Increases
Cardiovascular complications after non-cardiac surgery remain a major
source of morbidity and mortality, according to a study published
online by JAMA Cardiology.
Despite the significant burden perioperative events place on the
national healthcare system, recent data are lacking on trends in
perioperative major adverse cardiovascular and cerebrovascular events
(MACCE) among patients hospitalised for major non-cardiac surgery.
Using the National Inpatient Sample, Sripal Bangalore, MD, New York
University School of Medicine, New York, New York, and colleagues
identified patients who underwent major non-cardiac surgery from January
2004 to December 2013.
Among 10,581,621 hospitalisations (mean age, 66 years; 57% female)
for major non-cardiac surgery, perioperative MACCE -- defined as
in-hospital, all-cause death, acute myocardial infarction (MI) or acute
ischaemic stroke -- occurred in 317,479 hospitalisations (3%),
corresponding to an annual incidence of approximately 150,000 events.
MACCE occurred most frequently in patients undergoing vascular (7.7%), thoracic (6.5%), and transplant surgery (6.3%).
Between 2004 and 2013, the frequency of MACCE declined from 3.1% to
2.6%, driven by a decline in frequency of perioperative death and acute
MI, but there was an increase in perioperative ischaemic stroke from
0.52% in 2004 to 0.77% in 2013.
Men had higher risk of perioperative MACCE than women. In analyses of
perioperative events by race and ethnicity, non-Latino black patients
had the highest rates of perioperative death and ischaemic stroke
compared with other racial groups.
“Perioperative MACCE occurs in 1 of every 33 hospitalisations for
non-cardiac surgery,” the authors wrote. “Despite improvements in
perioperative outcomes over the past decade, the significant increase in
the rate of ischaemic stroke in this analysis requires confirmation and
further study. Additional efforts are necessary to improve
perioperative cardiovascular care of patients undergoing non-cardiac
surgery.”
SOURCE: JAMA Cardiology
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,112 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
Thursday, December 29, 2016
Rate of Death and MI After Non-Cardiac Surgery Decreases, But Risk of Stroke Increases
Labels:
doctor question,
stroke risk,
surgery
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