Stroke Following Coronary-Artery Bypass Surgery

作者: Guy L. Reed , Daniel E. Singer , Ernest H. Picard , Roman W. DeSanctis

DOI: 10.1056/NEJM198811103191903

关键词:

摘要: Abstract The causes of stroke following coronary-artery bypass surgery are largely unknown. To determine whether carotid bruits increase the risk these events, we compared 54 patients with postoperative or transient ischemic attacks randomly selected control patients. Both groups were drawn from 5915 consecutive who had coronary at our hospital 1970 to 1984. Carotid noted preoperatively in 13 and 4 case-control analysis showed that presence increased by 3.9-fold (95 percent confidence interval, 1.2 12.8; P<0.05). This remained essentially unchanged after adjustment for potentially confounding variables a multiple logistic regression analysis. Other factors associated significantly (P<0.05) neurologic deficits history attack (odds rat...

参考文章(21)
Anthony J. Barr, SAS user's guide SAS Institute Inc.. ,(1979)
SANDER GREENLAND, DUNCAN C. THOMAS, On the need for the rare disease assumption in case-control studies. American Journal of Epidemiology. ,vol. 116, pp. 547- 553 ,(1982) , 10.1093/OXFORDJOURNALS.AJE.A113439
C. E. Coffey, E. W. Massey, K. B. Roberts, S. Curtis, R. H. Jones, D. B. Pryor, Natural history of cerebral complications of coronary artery bypass graft surgery Neurology. ,vol. 33, pp. 1416- 1416 ,(1983) , 10.1212/WNL.33.11.1416
Allan H. Ropper, Lawrence R. Wechsler, Lennard S. Wilson, Carotid bruit and the risk of stroke in elective surgery. The New England Journal of Medicine. ,vol. 307, pp. 1388- 1390 ,(1982) , 10.1056/NEJM198211253072207
Thomas Killip, Twenty Years of Coronary Bypass Surgery The New England Journal of Medicine. ,vol. 319, pp. 366- 368 ,(1988) , 10.1056/NEJM198808113190610
Mark M. Kartchner, Carotid Occlusive Disease as a Risk Factor in Major Cardiovascular Surgery Archives of Surgery. ,vol. 117, pp. 1086- 1088 ,(1982) , 10.1001/ARCHSURG.1982.01380320070018
George J. Taylor, Shezad A. Malik, Jerry A. Colliver, James T. Dove, H. Weston Moses, Frank L. Mikell, John E. Batchelder, Joel A. Schneider, Harry A. Wellons, Usefulness of atrial fibrillation as a predictor of stroke after isolated coronary artery bypass grafting. American Journal of Cardiology. ,vol. 60, pp. 905- 907 ,(1987) , 10.1016/0002-9149(87)91045-9
FLOYD D. LOOP, DELOS M. COSGROVE, BRUCE W. LYTLE, ROBERT L. THURER, CONRAD SIMPFENDORFER, PAUL C. TAYLOR, WILLIAM L. PROUDFIT, An 11 year evolution of coronary arterial surgery (1967-1978) Annals of Surgery. ,vol. 190, pp. 444- 455 ,(1979) , 10.1097/00000658-197910000-00004
BARNET WOOLF, On estimating the relation between blood group and disease. Annals of Human Genetics. ,vol. 19, pp. 251- 253 ,(1955) , 10.1111/J.1469-1809.1955.TB01348.X
F. J. ANSCOMBE, On estimating binomial response relations Biometrika. ,vol. 43, pp. 461- 464 ,(1956) , 10.1093/BIOMET/43.3-4.461