Key result
The timing of cardiac surgery after a preoperative stroke did not significantly affect the incidence of postoperative stroke or 30-day mortality in patients with or without infective endocarditis.
Why the study?
The optimal time when cardiac surgery can be safely performed after a stroke is unknown.
Does the timing of cardiac surgery after a preoperative stroke affect postoperative stroke or mortality?
Population
157 patients undergoing cardiac surgery after stroke
Design
Retrospective cohort study
Authors
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May support not delaying surgery after recent stroke; leaves open need for randomized confirmation.
Cohort (n=157)
No
Does the timing of cardiac surgery after a preoperative stroke affect postoperative stroke or mortality?
Absolute Event Rate: 10% vs 6.9%
p-value: p=0.607
The timing of cardiac surgery after a preoperative stroke does not appear to significantly affect the risk of postoperative stroke or 30-day mortality, suggesting surgery should not be delayed solely due to a recent stroke.
Matthews et al. (2021) conducted a cohort in Preoperative stroke before cardiac surgery (n=157). Recent preoperative stroke (≤2 weeks before surgery) vs. Remote preoperative stroke (>6 weeks before surgery) was evaluated on Incidence of postoperative stroke (non-endocarditis cohort) (p=0.607). The timing of cardiac surgery after a preoperative stroke did not significantly affect the incidence of postoperative stroke or 30-day mortality in patients with or without infective endocarditis.
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