{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:48:48Z","timestamp":1777891728082,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NRE"],"published-print":{"date-parts":[[2024,8,29]]},"abstract":"<jats:p>BACKGROUND: Perioperative stroke is a devastating complication of coronary artery and aortic surgery, resulting in significantly increased mortality and morbidity rates. As such, predicting rehabilitation outcomes after perioperative stroke would be valuable in establishing rehabilitation plans. OBJECTIVE: To identify prognostic factors of rehabilitation outcomes in perioperative stroke after surgery of the aorta and coronary arteries. METHODS: This study included patients who experienced perioperative stroke after coronary artery bypass grafting and aortic surgery, and underwent 3-weeks of rehabilitation. Demographic data included age, sex, diagnosis, brain lesions, and Charlson Comorbidity Index (CCI). To identify prognostic factors and the effectiveness of rehabilitation, the Modified Barthel Index (MBI), National Institutes of Health Stroke Scale (NIHSS), Medical Research Council (MRC) sum score, modified Rankin Scale (mRS) score, and Mini-Mental State Examination (MMSE) scores were investigated before and after a three-week rehabilitation period. Spearman rank correlation analyses were performed. RESULTS: Statistically significant improvements were observed in NIHSS, MBI, and MMSE scores after rehabilitation. Spearman rank correlation analysis revealed a significant correlation between sex, stroke type, and improvement in MRC sum score. CONCLUSION: The most crucial factors influencing the prognosis of perioperative stroke occurring after coronary artery or aortic surgery included sex and stroke type.<\/jats:p>","DOI":"10.3233\/nre-240106","type":"journal-article","created":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T11:16:55Z","timestamp":1725016615000},"page":"11-15","source":"Crossref","is-referenced-by-count":0,"title":["Predictive factors of rehabilitation outcomes of perioperative stroke after surgery of the coronary artery and aorta: A pilot study"],"prefix":"10.1177","volume":"55","author":[{"given":"Soojeong","family":"Han","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, College of Medicine, Ewha Womans University, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeong-Jun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, College of Medicine, Ewha Womans University, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jee Hyun","family":"Suh","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, College of Medicine, Ewha Womans University, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"key":"10.3233\/NRE-240106_ref1","doi-asserted-by":"publisher","first-page":"659","DOI":"10.3389\/fimmu.2018.00659","article-title":"Sex Differences in Adipose Tissue CD(+) T Cells and Regulatory T Cells in Middle-Aged Mice","volume":"9","author":"Ahnstedt,","year":"2018","journal-title":"Front Immunol"},{"key":"10.3233\/NRE-240106_ref2","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1212\/CON.0000000000000423","article-title":"Stroke Rehabilitation","volume":"23","author":"Belagaje,","year":"2017","journal-title":"Continuum (Minneap Minn)"},{"issue":"6","key":"10.3233\/NRE-240106_ref3","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1093\/icvts\/ivab191","article-title":"Sex differences in outcomes following coronary artery bypass grafting: a meta-analysis","volume":"33","author":"Bryce Robinson,","year":"2021","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"2","key":"10.3233\/NRE-240106_ref4","doi-asserted-by":"publisher","first-page":"532","DOI":"10.1016\/j.athoracsur.2004.07.027","article-title":"Perioperative stroke and long-term survival after coronary bypass graft surgery","volume":"79","author":"Dacey,","year":"2005","journal-title":"Ann Thorac Surg"},{"issue":"5","key":"10.3233\/NRE-240106_ref5","doi-asserted-by":"publisher","first-page":"935","DOI":"10.1067\/mtc.2001.117276","article-title":"Stroke in surgery of the thoracic aorta: incidence, impact, etiology, and prevention","volume":"122","author":"Goldstein,","year":"2001","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"10.3233\/NRE-240106_ref6","doi-asserted-by":"publisher","first-page":"498","DOI":"10.1016\/j.athoracsur.2021.03.100","article-title":"Sex-Based Aortic Dissection Outcomes From the International Registry of Acute Aortic Dissection","volume":"113","author":"Huckaby,","year":"2022","journal-title":"Ann Thorac Surg"},{"key":"10.3233\/NRE-240106_ref7","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1016\/j.jocn.2017.06.035","article-title":"Perioperative stroke as a predictor of mortality and morbidity in patients undergoing CABG","volume":"44","author":"Mehta,","year":"2017","journal-title":"J Clin Neurosci"},{"issue":"24","key":"10.3233\/NRE-240106_ref8","doi-asserted-by":"publisher","first-page":"3014","DOI":"10.1161\/01.CIR.0000130644.78677.2C","article-title":"Gender-related differences in acute aortic dissection","volume":"109","author":"Nienaber,","year":"2004","journal-title":"Circulation"},{"key":"10.3233\/NRE-240106_ref9","doi-asserted-by":"publisher","first-page":"1021363","DOI":"10.3389\/fcvm.2022.1021363","article-title":"Sex differences in coronary artery bypass grafting-related morbidity and mortality","volume":"9","author":"Nurkkala,","year":"2022","journal-title":"Front Cardiovasc Med"},{"issue":"22","key":"10.3233\/NRE-240106_ref10","doi-asserted-by":"publisher","first-page":"e1945","DOI":"10.1212\/WNL.0000000000005602","article-title":"Factors contributing to sex differences in functional outcomes and participation after stroke","volume":"90","author":"Phan,","year":"2018","journal-title":"Neurology"},{"issue":"25","key":"10.3233\/NRE-240106_ref11","doi-asserted-by":"publisher","first-page":"1857","DOI":"10.1056\/NEJM199612193352501","article-title":"Adverse cerebral outcomes after coronary bypass surgery. 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