Medicine · 4 authors, 1 centre
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This retrospective case-control study found that among 284,105 surgical patients, the incidence of early post-operative stroke (≤24 hours) was 0.015%, and risk factors included ASA status ≥3, operation time >120 minutes, and intra-operative hypotension with inotrope/vasopressor use.
The incidence was 0.015%. Multivariable analysis identified three independent risk factors: ASA physical status ≥3 (adjusted OR 3.12, P=.017), operation time >120 minutes (adjusted OR 10.69, P<.001), and intra-operative hypotension with inotrope/vasopressor use (adjusted OR 2.80, P=.034). 2.3%). The study is limited by its single-center, retrospective design and potential under-reporting of minor strokes.
