Predictors of neurological morbidity after coronary artery bypass surgery
Objective: The aim of this study was to analyze the postoperative neurological complications after myocardial revascularization. Methods: We analyzed the pre-, peri- and postoperative data of 3834 patients who underwent a primary isolated bypass grafting between January 1987 and December 1995. Posto...
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| Veröffentlicht in: | European journal of cardio-thoracic surgery 1999-02, Vol.15 (2), p.166-172 |
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| container_title | European journal of cardio-thoracic surgery |
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| creator | Janssen, Douglas P.B. Noyez, Luc van Druten, Johannes A.M. Skotnicki, Stefan H. Lacquet, Leon K. |
| description | Objective: The aim of this study was to analyze the postoperative neurological complications after myocardial revascularization. Methods: We analyzed the pre-, peri- and postoperative data of 3834 patients who underwent a primary isolated bypass grafting between January 1987 and December 1995. Postoperative neurological complications (A) were divided into mild complications (B) and major complications (C). Results: The incidence of A increased, from 1.4% to 3.0%. Unifactor risk analysis identified: age>75 years, peripheral vascular atherosclerosis, neurological pathology, aorta-pathology and perioperative myocardial infarction as risk factors for A. Perioperative myocardial infarction and neurological pathology for B; age>75 years, peripheral vascular atherosclerosis, neurological pathology, perioperative myocardial infarction and aorta pathology for C. Multifactor risk regression analysis identified peripheral vascular atherosclerosis, neurological pathology, aorta-pathology, perioperative myocardial infarction and the time cohort 1993–1995 as independent predictors for A; perioperative myocardial infarction and the time cohort 1993–1995 for B; neurological pathology, aorta-pathology and perioperative myocardial infarction for C. Conclusions: Peripheral vascular atherosclerosis, neurological pathology, aorta-pathology, the occurrence of a perioperative myocardial infarction and the time cohort 1993–1995 are identified as independent risk factors for neurological complications. |
| doi_str_mv | 10.1016/S1010-7940(98)00296-6 |
| format | Article |
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Methods: We analyzed the pre-, peri- and postoperative data of 3834 patients who underwent a primary isolated bypass grafting between January 1987 and December 1995. Postoperative neurological complications (A) were divided into mild complications (B) and major complications (C). Results: The incidence of A increased, from 1.4% to 3.0%. Unifactor risk analysis identified: age>75 years, peripheral vascular atherosclerosis, neurological pathology, aorta-pathology and perioperative myocardial infarction as risk factors for A. Perioperative myocardial infarction and neurological pathology for B; age>75 years, peripheral vascular atherosclerosis, neurological pathology, perioperative myocardial infarction and aorta pathology for C. Multifactor risk regression analysis identified peripheral vascular atherosclerosis, neurological pathology, aorta-pathology, perioperative myocardial infarction and the time cohort 1993–1995 as independent predictors for A; perioperative myocardial infarction and the time cohort 1993–1995 for B; neurological pathology, aorta-pathology and perioperative myocardial infarction for C. Conclusions: Peripheral vascular atherosclerosis, neurological pathology, aorta-pathology, the occurrence of a perioperative myocardial infarction and the time cohort 1993–1995 are identified as independent risk factors for neurological complications.</description><identifier>ISSN: 1010-7940</identifier><identifier>EISSN: 1873-734X</identifier><identifier>DOI: 10.1016/S1010-7940(98)00296-6</identifier><identifier>PMID: 10219549</identifier><identifier>CODEN: EJCSE7</identifier><language>eng</language><publisher>Amsterdam: Elsevier Science B.V</publisher><subject>Aged ; Biological and medical sciences ; Cardiology. Vascular system ; Comorbidity ; Coronary Artery Bypass - adverse effects ; Coronary heart disease ; Female ; Follow-Up Studies ; Heart ; Humans ; Male ; Medical sciences ; Multifactor analysis ; Myocardial Ischemia - surgery ; Myocardial revascularization ; Nervous System Diseases - diagnosis ; Nervous System Diseases - etiology ; Neurological complications ; Prognosis ; Retrospective Studies ; Risk Factors</subject><ispartof>European journal of cardio-thoracic surgery, 1999-02, Vol.15 (2), p.166-172</ispartof><rights>Elsevier Science B.V. © 1999 Elsevier Science B.V. 1999</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-cebe54bfbd9597765f16c2d86652003feba12909d193f476f5d9db83b35c535a3</citedby><cites>FETCH-LOGICAL-c495t-cebe54bfbd9597765f16c2d86652003feba12909d193f476f5d9db83b35c535a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1750527$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10219549$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Janssen, Douglas P.B.</creatorcontrib><creatorcontrib>Noyez, Luc</creatorcontrib><creatorcontrib>van Druten, Johannes A.M.</creatorcontrib><creatorcontrib>Skotnicki, Stefan H.</creatorcontrib><creatorcontrib>Lacquet, Leon K.</creatorcontrib><title>Predictors of neurological morbidity after coronary artery bypass surgery</title><title>European journal of cardio-thoracic surgery</title><addtitle>Eur J Cardiothorac Surg</addtitle><addtitle>Eur J Cardiothorac Surg</addtitle><description>Objective: The aim of this study was to analyze the postoperative neurological complications after myocardial revascularization. Methods: We analyzed the pre-, peri- and postoperative data of 3834 patients who underwent a primary isolated bypass grafting between January 1987 and December 1995. Postoperative neurological complications (A) were divided into mild complications (B) and major complications (C). Results: The incidence of A increased, from 1.4% to 3.0%. Unifactor risk analysis identified: age>75 years, peripheral vascular atherosclerosis, neurological pathology, aorta-pathology and perioperative myocardial infarction as risk factors for A. Perioperative myocardial infarction and neurological pathology for B; age>75 years, peripheral vascular atherosclerosis, neurological pathology, perioperative myocardial infarction and aorta pathology for C. Multifactor risk regression analysis identified peripheral vascular atherosclerosis, neurological pathology, aorta-pathology, perioperative myocardial infarction and the time cohort 1993–1995 as independent predictors for A; perioperative myocardial infarction and the time cohort 1993–1995 for B; neurological pathology, aorta-pathology and perioperative myocardial infarction for C. Conclusions: Peripheral vascular atherosclerosis, neurological pathology, aorta-pathology, the occurrence of a perioperative myocardial infarction and the time cohort 1993–1995 are identified as independent risk factors for neurological complications.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Comorbidity</subject><subject>Coronary Artery Bypass - adverse effects</subject><subject>Coronary heart disease</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Multifactor analysis</subject><subject>Myocardial Ischemia - surgery</subject><subject>Myocardial revascularization</subject><subject>Nervous System Diseases - diagnosis</subject><subject>Nervous System Diseases - etiology</subject><subject>Neurological complications</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><issn>1010-7940</issn><issn>1873-734X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkF1LHDEUhkOpVLv2J1TmQsRepJ5MJsnkUtR2BcHiR1m8CUkmkbGzmzWZAfffm3XWWqE3SQ48b97Dg9BXAt8JEH50nU_AQlZwKOtvAKXkmH9AO6QWFAtazT7m9yuyjT6n9AAAnJbiE9omUBLJKrmDzn9F17S2DzEVwRcLN8TQhfvW6q6Yh2japu1Xhfa9i4UNMSx0zGPM46owq6VOqUhDvM_jLtryukvuy-aeoNsfZzcnU3xx-fP85PgC20qyHltnHKuMN41kUgjOPOG2bGrOWQlAvTOalBJkQyT1leCeNbIxNTWUWUaZphN0MP67jOFxcKlX8zZZ13V64cKQFJeCVMBZBtkI2hhSis6rZWzneX9FQK0dqheHai1IyVq9OFQ85_Y2BYOZu-af1CgtA_sbQKfsyUe9sG164wQDVoqMwYiFYfn_avyuGq-r8RhpU--e_oZ0_KO4oIKp6exO_b67qqfTU6lO6TOZC5d4</recordid><startdate>19990201</startdate><enddate>19990201</enddate><creator>Janssen, Douglas P.B.</creator><creator>Noyez, Luc</creator><creator>van Druten, Johannes A.M.</creator><creator>Skotnicki, Stefan H.</creator><creator>Lacquet, Leon K.</creator><general>Elsevier Science B.V</general><general>Elsevier Science</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990201</creationdate><title>Predictors of neurological morbidity after coronary artery bypass surgery</title><author>Janssen, Douglas P.B. ; Noyez, Luc ; van Druten, Johannes A.M. ; Skotnicki, Stefan H. ; Lacquet, Leon K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c495t-cebe54bfbd9597765f16c2d86652003feba12909d193f476f5d9db83b35c535a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Comorbidity</topic><topic>Coronary Artery Bypass - adverse effects</topic><topic>Coronary heart disease</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Multifactor analysis</topic><topic>Myocardial Ischemia - surgery</topic><topic>Myocardial revascularization</topic><topic>Nervous System Diseases - diagnosis</topic><topic>Nervous System Diseases - etiology</topic><topic>Neurological complications</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Janssen, Douglas P.B.</creatorcontrib><creatorcontrib>Noyez, Luc</creatorcontrib><creatorcontrib>van Druten, Johannes A.M.</creatorcontrib><creatorcontrib>Skotnicki, Stefan H.</creatorcontrib><creatorcontrib>Lacquet, Leon K.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardio-thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Janssen, Douglas P.B.</au><au>Noyez, Luc</au><au>van Druten, Johannes A.M.</au><au>Skotnicki, Stefan H.</au><au>Lacquet, Leon K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of neurological morbidity after coronary artery bypass surgery</atitle><jtitle>European journal of cardio-thoracic surgery</jtitle><stitle>Eur J Cardiothorac Surg</stitle><addtitle>Eur J Cardiothorac Surg</addtitle><date>1999-02-01</date><risdate>1999</risdate><volume>15</volume><issue>2</issue><spage>166</spage><epage>172</epage><pages>166-172</pages><issn>1010-7940</issn><eissn>1873-734X</eissn><coden>EJCSE7</coden><abstract>Objective: The aim of this study was to analyze the postoperative neurological complications after myocardial revascularization. Methods: We analyzed the pre-, peri- and postoperative data of 3834 patients who underwent a primary isolated bypass grafting between January 1987 and December 1995. Postoperative neurological complications (A) were divided into mild complications (B) and major complications (C). Results: The incidence of A increased, from 1.4% to 3.0%. Unifactor risk analysis identified: age>75 years, peripheral vascular atherosclerosis, neurological pathology, aorta-pathology and perioperative myocardial infarction as risk factors for A. Perioperative myocardial infarction and neurological pathology for B; age>75 years, peripheral vascular atherosclerosis, neurological pathology, perioperative myocardial infarction and aorta pathology for C. Multifactor risk regression analysis identified peripheral vascular atherosclerosis, neurological pathology, aorta-pathology, perioperative myocardial infarction and the time cohort 1993–1995 as independent predictors for A; perioperative myocardial infarction and the time cohort 1993–1995 for B; neurological pathology, aorta-pathology and perioperative myocardial infarction for C. Conclusions: Peripheral vascular atherosclerosis, neurological pathology, aorta-pathology, the occurrence of a perioperative myocardial infarction and the time cohort 1993–1995 are identified as independent risk factors for neurological complications.</abstract><cop>Amsterdam</cop><pub>Elsevier Science B.V</pub><pmid>10219549</pmid><doi>10.1016/S1010-7940(98)00296-6</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Aged Biological and medical sciences Cardiology. Vascular system Comorbidity Coronary Artery Bypass - adverse effects Coronary heart disease Female Follow-Up Studies Heart Humans Male Medical sciences Multifactor analysis Myocardial Ischemia - surgery Myocardial revascularization Nervous System Diseases - diagnosis Nervous System Diseases - etiology Neurological complications Prognosis Retrospective Studies Risk Factors |
| title | Predictors of neurological morbidity after coronary artery bypass surgery |
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