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We detail our single\u2010centre experience the following introduction of comprehensive consultant\u2010led daily stroke service, to demonstrate the efficacy of a stroke team in recovery from stroke following cardiac and aortic surgeries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective, single\u2010centre observational cohort study analysed consecutive patients undergoing cardiac and aortic surgery at our institution from August 2014 to December 2020. Main outcomes included stroke rate, predictors of stroke, and neurological deficit resolution or persistence at discharge and clinic follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 12,135 procedures were carried out in the reference period. Among these, 436 (3.6%) suffered a stroke. Overall survival to discharge and follow\u2010up were 86.0% and 84.0% respectively. Independent risk factors for post\u2010operative stroke included advanced age (OR 1.033, 95% CI [1.023, 1.044], <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), female sex (OR 1.491, 95% [1.212, 1.827], <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), history of previous cardiac surgeries (OR 1.670, 95% CI [1.239, 2.218], <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), simultaneous coronary artery bypass graft + valve procedures (OR 1.825, 95% CI [1.382, 2.382], <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) and CPB time longer than 240\u2009min (OR 3.384, 95% CI [2.413, 4.705], <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Stroke patients managed by the multidisciplinary team demonstrated significantly higher rates of survival at discharge (87.3% vs. 61.9%, <jats:italic>p<\/jats:italic>\u2009=\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Perioperative stroke can be debilitating immediately long term. The involvement of specialist stroke teams plays a key role in reducing the long\u2010term burden and mortality of this condition.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eci.14275","type":"journal-article","created":{"date-parts":[[2024,6,29]],"date-time":"2024-06-29T11:19:37Z","timestamp":1719659977000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Stroke outcomes following cardiac and aortic surgery are improved by the involvement of a stroke team"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5507-5841","authenticated-orcid":false,"given":"Amer","family":"Harky","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery Liverpool Heart and Chest Hospital  Liverpool UK"},{"name":"Faculty of Health and Life Sciences University of Liverpool  Liverpool UK"},{"name":"Liverpool Centre for Cardiovascular Science at University of Liverpool Liverpool John Moores University and Liverpool Heart &amp; Chest Hospital  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa Jane","family":"Chow","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Liverpool Heart and Chest Hospital  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Calum","family":"Voller","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kartik","family":"Goyal","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Shaw","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Liverpool Heart and Chest Hospital  Liverpool UK"},{"name":"Liverpool Centre for Cardiovascular Science at University of Liverpool Liverpool John Moores University and Liverpool Heart &amp; Chest Hospital  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anurodh","family":"Bhawnani","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Anaesthesia and Intensive Care Liverpool Heart and Chest Hospital  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayman","family":"Kenawy","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Liverpool Heart and Chest Hospital  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Liverpool Heart and Chest Hospital  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory Y. 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