Perioperative stroke after noncardiac and nonneurosurgical procedures is associated with delayed recognition, infrequent intervention, and significant morbidity and mortality, highlighting a need for improved screening.
May prompt enhanced perioperative vigilance; hypothesis-generating for trials of systematic screening and intervention.
We sought to characterize stroke management and outcomes in a postoperative population. By using the electronic medical records, we identified 39 patients suffering perioperative stroke after noncardiac and nonneurosurgical procedures for whom documentation of management and outcomes was available. Thirty-three strokes occurred during admission, whereas 6 occurred after discharge and were recognized upon return to the hospital. Perioperative stroke was associated with delayed recognition, infrequent intervention, and significant rates of morbidity and mortality, suggesting the need for improved screening and more rapid treatment. There may be disparities in care and outcomes between in-hospital and out-of hospital stroke patients, though further study is warranted.
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Vlisides et al. (2016) studied this question.
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