{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T14:02:41Z","timestamp":1764079361617},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac cardiovasc Surg"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>\n            Background\u2003Nonfatal strokes, transient ischemic attacks (TIAs), and reversible ischemic neurological deficits (RIND) after elective coronary artery bypass grafting (CABG) are devastating clinical problems. The anesthesiologist, surgical and intensive care teams in a community hospital adopted a strategy developed in an effort to minimize these adverse outcome events.<\/jats:p><jats:p>The purpose of this study is to determine the incidence of and predictors for perioperative adverse neurologic events.<\/jats:p><jats:p>\n            Methods\u2003A historical cohort study of 1,108 consecutive CABG patients operated between 2002 and 2014. Outcomes were defined as (1) a new neurologic damage (a new stroke, TIA, or RIND) and (2) a new neurologic damage or 30 days mortality.<\/jats:p><jats:p>\n            Results\u2003Adverse cerebral outcomes occurred in 16 patients (1.4 percent). Nine patients had postoperative stroke, six suffered TIAs, and one had postoperative RIND.<\/jats:p><jats:p>In multivariate analysis, older age (OR 1.07, 95% CI 1.01\u20131.14), congestive heart failure (OR 3.57, 95% CI 1.22\u201310.49) and prior stroke (OR 6.27, 95% CI 1.78\u201322.03) were significantly associated with increased risk of new neurologic damage. These parameters were also significantly associated with increased risk of the combined outcome (new neurologic damage\/mortality).<\/jats:p><jats:p>\n            Conclusions\u2003A low incidence rate of adverse cerebral outcomes after CABG in community hospital can be achieved with the use of the suggested surgical intensive care, and anesthetic strategy. Advanced age, congestive heart failure, and prior stroke are associated with adverse outcomes.<\/jats:p>","DOI":"10.1055\/s-0037-1618576","type":"journal-article","created":{"date-parts":[[2018,4,11]],"date-time":"2018-04-11T22:57:45Z","timestamp":1523487465000},"page":"452-456","source":"Crossref","is-referenced-by-count":7,"title":["Adverse Cerebral Outcomes after Coronary Artery Bypass Surgery\u2014More Than a Decade of Experience in a Single Center"],"prefix":"10.1055","volume":"66","author":[{"given":"Carrie","family":"Consalvi","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, Cape Cod Hospital, Hyannis, Massachusetts, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison","family":"Healey","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, Cape Cod Hospital, Hyannis, Massachusetts, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bridget","family":"Rivera","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, Cape Cod Hospital, Hyannis, Massachusetts, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Poulin","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, Cape Cod Hospital, Hyannis, Massachusetts, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rephael","family":"Mohr","sequence":"first","affiliation":[{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomer","family":"Ziv-Baran","sequence":"first","affiliation":[{"name":"School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Loberman","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Brigham and Women's Hospital, Boston, Massachusetts, United States"},{"name":"Division of Cardiac Surgery, Cape Cod Hospital, Hyannis, Massachusetts, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,4,11]]},"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0037-1618576.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,9,4]],"date-time":"2018-09-04T22:33:32Z","timestamp":1536100412000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0037-1618576"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,11]]},"references-count":0,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2018,9,4]]},"published-print":{"date-parts":[[2018,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0037-1618576","relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,11]]}}}