American Journal of Cardiology
Volume 102, Issue 4 , Pages 411-417 , 15 August 2008

Impact of Early and Delayed Stroke on In-Hospital and Long-Term Mortality After Isolated Coronary Artery Bypass Grafting

  • Ioannis K. Toumpoulis, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons, St. Luke's–Roosevelt Hospital Center, New York, New York
    • Department of Cardiothoracic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts
    • Corresponding Author InformationCorresponding author: Tel: 978-846-4609; fax: 617-975-5245.
    • ,
  • Constantine E. Anagnostopoulos, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons, St. Luke's–Roosevelt Hospital Center, New York, New York
    • Department of Cardiothoracic Surgery, University of Athens School of Medicine, Attikon Hospital Center, Athens, Greece.
    • ,
  • Themistocles P. Chamogeorgakis, MD

      Affiliations

    • Department of Cardiothoracic Surgery, University of Athens School of Medicine, Attikon Hospital Center, Athens, Greece.
    • ,
  • Dimitrios C. Angouras, MD

      Affiliations

    • Department of Cardiothoracic Surgery, University of Athens School of Medicine, Attikon Hospital Center, Athens, Greece.
    • ,
  • Maria A. Kariou, RN

      Affiliations

    • Department of Cardiothoracic Surgery, University of Athens School of Medicine, Attikon Hospital Center, Athens, Greece.
    • ,
  • Daniel G. Swistel, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons, St. Luke's–Roosevelt Hospital Center, New York, New York
    • ,
  • Chris K. Rokkas, MD

      Affiliations

    • Department of Cardiothoracic Surgery, University of Athens School of Medicine, Attikon Hospital Center, Athens, Greece.

Received 29 January 2008 ,Revised 29 March 2008 ,Accepted 29 March 2008.

References 

  1. DeRose JJ, Toumpoulis IK, Balaram SK, Ioannidis JP, Belsley S, Ashton RC, et al. Preoperative prediction of long-term survival after coronary artery bypass grafting in patients with low left ventricular ejection fraction. J Thorac Cardiovasc Surg. 2005;129:314–321
  2. Toumpoulis IK, Anagnostopoulos CE, DeRose JJ, Swistel DG. Does EuroSCORE predict length of stay and specific postoperative complications after coronary artery bypass grafting?. Int J Cardiol. 2005;105:19–25
  3. Toumpoulis IK, Anagnostopoulos CE, Derose JJ, Swistel DG. The impact of deep sternal wound infection on long-term survival after coronary artery bypass grafting. Chest. 2005;127:464–471
  4. Toumpoulis IK, Anagnostopoulos CE, Derose JJ, Swistel DG. European system for cardiac operative risk evaluation predicts long-term survival in patients with coronary artery bypass grafting. Eur J Cardiothorac Surg. 2004;25:51–58
  5. Toumpoulis IK, Anagnostopoulos CE. Can EuroSCORE accurately predict long-term outcome after cardiac surgery?. Nat Clin Pract Cardiovasc Med. 2005;2:620–621
  6. Williams BC, Demitrack LB, Fries BE. The accuracy of the National Death Index when personal identifiers other than Social Security number are used. Am J Public Health. 1992;82:1145–1147
  7. Kaplan EL, Meier P. Nonparametric estimation from incomplete observations. J Am Stat Assoc. 1958;53:547–581
  8. Hosmer DW, Taber S, Lemeshow S. The importance of assessing the fit of logistic regression models: a case study. Am J Public Health. 1991;81:1630–1635
  9. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology. 1982;143:29–36
  10. Cox DR. Regression models and life-tables. J R Stat Soc. 1972;34:187–220
  11. Dacey LJ, Likosky DS, Leavitt BJ, Lahey SJ, Quinn RD, Hernandez F, et al. Perioperative stroke and long-term survival after coronary bypass graft surgery. Ann Thorac Surg. 2005;79:532–536
  12. Puskas JD, Winston AD, Wright CE, Gott JP, Brown WM, Craver JM, et al. Stroke after coronary artery operation: incidence, correlates, outcome, and cost. Ann Thorac Surg. 2000;69:1053–1056
  13. Salazar JD, Wityk RJ, Grega MA, Borowicz LM, Doty JR, Petrofski JA, et al. Stroke after cardiac surgery: short- and long-term outcomes. Ann Thorac Surg. 2001;72:1195–1201
  14. Lahtinen J, Biancari F, Salmela E, Mosorin M, Satta J, Rainio P, et al. Postoperative atrial fibrillation is a major cause of stroke after on-pump coronary artery bypass surgery. Ann Thorac Surg. 2004;77:1241–1244
  15. Likosky DS, Marrin CA, Caplan LR, Baribeau YR, Morton JR, Weintraub RM, et al Determination of etiologic mechanisms of strokes secondary to coronary artery bypass graft surgery. Stroke. 2003;34:2830–2834
  16. Roach GW, Kanchuger M, Mangano CM, Newman M, Nussmeier N, Wolman R, et al. Adverse cerebral outcomes after coronary bypass surgery (Multicenter Study of Perioperative Ischemia Research Group and the Ischemia Research and Education Foundation Investigators). N Engl J Med. 1996;335:1857–1863
  17. Almassi GH, Sommers T, Moritz TE, Shroyer AL, London MJ, Henderson WG, et al. Stroke in cardiac surgical patients: determinants and outcome. Ann Thorac Surg. 1999;68:391–397
  18. Baker RA, Hallsworth LJ, Knight JL. Stroke after coronary artery bypass grafting. Ann Thorac Surg. 2005;80:1746–1750
  19. Charlesworth DC, Likosky DS, Marrin CA, Maloney CT, Quinton HB, Morton JR, et al. Development and validation of a prediction model for strokes after coronary artery bypass grafting. Ann Thorac Surg. 2003;76:436–443
  20. John R, Choudhri AF, Weinberg AD, Ting W, Rose EA, Smith CR, et al. Multicenter review of preoperative risk factors for stroke after coronary artery bypass grafting. Ann Thorac Surg. 2000;69:30–35
  21. Pan W, Hindler K, Lee VV, Vaughn WK, Collard CD. Obesity in diabetic patients undergoing coronary artery bypass graft surgery is associated with increased postoperative morbidity. Anesthesiology. 2006;104:441–447
  22. Toumpoulis IK, Anagnostopoulos CE, Toumpoulis SK, DeRose JJ, Swistel DG. Risk factors for sepsis and endocarditis and long-term survival following coronary artery bypass grafting. World J Surg. 2005;29:621–627
  23. Canver CC, Chanda J. Intraoperative and postoperative risk factors for respiratory failure after coronary bypass. Ann Thorac Surg. 2003;75:853–857
  24. Bucerius J, Gummert JF, Borger MA, Walther T, Doll N, Onnasch JF, et al. Stroke after cardiac surgery: a risk factor analysis of 16,184 consecutive adult patients. Ann Thorac Surg. 2003;75:472–478
  25. D'Ancona G, Saez d I, Baillot R, Mathieu P, Doyle D, Metras J, et al. Determinants of stroke after coronary artery bypass grafting. Eur J Cardiothorac Surg. 2003;24:552–556
  26. Hogue CW, Murphy SF, Schechtman KB, vila-Roman VG. Risk factors for early or delayed stroke after cardiac surgery. Circulation. 1999;100:642–647
  27. Toumpoulis IK, Anagnostopoulos CE, Balaram SK, Rokkas CK, Swistel DG, Ashton RC, et al. Assessment of independent predictors for long-term mortality between women and men after coronary artery bypass grafting: are women different from men?. J Thorac Cardiovasc Surg. 2006;131:343–351
  28. Yoon BW, Bae HJ, Kang DW, Lee SH, Hong KS, Kim KB, et al. Intracranial cerebral artery disease as a risk factor for central nervous system complications of coronary artery bypass graft surgery. Stroke. 2001;32:94–99
  29. Selim M. Perioperative stroke. N Engl J Med. 2007;356:706–713

PII: S0002-9149(08)00654-1

doi: 10.1016/j.amjcard.2008.03.077

American Journal of Cardiology
Volume 102, Issue 4 , Pages 411-417 , 15 August 2008

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