Cargando…

Cardiovascular surgery experience does not significantly improve patients' response to stroke

OBJECTIVES: Patients with a history of cardiovascular surgery are at risk of stroke, and immediately calling emergency medical services (EMS) after stroke onset is crucial to receiving effective reperfusion therapy. We aimed to determine the effect of a history of cardiovascular surgery on patients&...

Descripción completa

Detalles Bibliográficos
Autores principales: Li, Shengde, Cui, Li‐Ying, Anderson, Craig, Gao, Chunpeng, Yu, Chengdong, Shan, Guangliang, Wang, Longde, Peng, Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6790311/
https://www.ncbi.nlm.nih.gov/pubmed/31515973
http://dx.doi.org/10.1002/brb3.1405
_version_ 1783458771500007424
author Li, Shengde
Cui, Li‐Ying
Anderson, Craig
Gao, Chunpeng
Yu, Chengdong
Shan, Guangliang
Wang, Longde
Peng, Bin
author_facet Li, Shengde
Cui, Li‐Ying
Anderson, Craig
Gao, Chunpeng
Yu, Chengdong
Shan, Guangliang
Wang, Longde
Peng, Bin
author_sort Li, Shengde
collection PubMed
description OBJECTIVES: Patients with a history of cardiovascular surgery are at risk of stroke, and immediately calling emergency medical services (EMS) after stroke onset is crucial to receiving effective reperfusion therapy. We aimed to determine the effect of a history of cardiovascular surgery on patients' ability to recognize stroke and intent to call EMS. METHODS: We performed a cross‐sectional community‐based study from January 2017 to May 2017. A total population of 186,167 individuals, recruited from 69 administrative areas across China, was analyzed. Different multivariable logistic regression models were performed to identify the associations between cardiovascular surgical history and stroke recognition or intent to call EMS, respectively. RESULTS: 0.1% of the total population had a history of cardiovascular surgery. In the surgery group, the estimated stroke recognition rate (SRR) and correct action rate (CAR) were 84.9% and 74.7%, respectively. The prevalence of cardiovascular risk factors was significantly higher in the surgery group. Cardiovascular surgical history was not associated with recognition of stroke across different models. The surgery group was more likely to call EMS, but the difference was not significant after full adjustment (OR: 1.40, 95% CI: 0.99–1.98, p = .0572). CONCLUSIONS: Cardiovascular surgical history does not influence patients' likelihood of calling EMS more often at stroke onset. Patients receiving cardiovascular surgeries should be counseled regarding stroke recognition, proper response to stroke, and the importance of controlling risk factors.
format Online
Article
Text
id pubmed-6790311
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-67903112019-10-21 Cardiovascular surgery experience does not significantly improve patients' response to stroke Li, Shengde Cui, Li‐Ying Anderson, Craig Gao, Chunpeng Yu, Chengdong Shan, Guangliang Wang, Longde Peng, Bin Brain Behav Original Research OBJECTIVES: Patients with a history of cardiovascular surgery are at risk of stroke, and immediately calling emergency medical services (EMS) after stroke onset is crucial to receiving effective reperfusion therapy. We aimed to determine the effect of a history of cardiovascular surgery on patients' ability to recognize stroke and intent to call EMS. METHODS: We performed a cross‐sectional community‐based study from January 2017 to May 2017. A total population of 186,167 individuals, recruited from 69 administrative areas across China, was analyzed. Different multivariable logistic regression models were performed to identify the associations between cardiovascular surgical history and stroke recognition or intent to call EMS, respectively. RESULTS: 0.1% of the total population had a history of cardiovascular surgery. In the surgery group, the estimated stroke recognition rate (SRR) and correct action rate (CAR) were 84.9% and 74.7%, respectively. The prevalence of cardiovascular risk factors was significantly higher in the surgery group. Cardiovascular surgical history was not associated with recognition of stroke across different models. The surgery group was more likely to call EMS, but the difference was not significant after full adjustment (OR: 1.40, 95% CI: 0.99–1.98, p = .0572). CONCLUSIONS: Cardiovascular surgical history does not influence patients' likelihood of calling EMS more often at stroke onset. Patients receiving cardiovascular surgeries should be counseled regarding stroke recognition, proper response to stroke, and the importance of controlling risk factors. John Wiley and Sons Inc. 2019-09-12 /pmc/articles/PMC6790311/ /pubmed/31515973 http://dx.doi.org/10.1002/brb3.1405 Text en © 2019 The Authors. Brain and Behavior published by Wiley Periodicals, Inc. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Li, Shengde
Cui, Li‐Ying
Anderson, Craig
Gao, Chunpeng
Yu, Chengdong
Shan, Guangliang
Wang, Longde
Peng, Bin
Cardiovascular surgery experience does not significantly improve patients' response to stroke
title Cardiovascular surgery experience does not significantly improve patients' response to stroke
title_full Cardiovascular surgery experience does not significantly improve patients' response to stroke
title_fullStr Cardiovascular surgery experience does not significantly improve patients' response to stroke
title_full_unstemmed Cardiovascular surgery experience does not significantly improve patients' response to stroke
title_short Cardiovascular surgery experience does not significantly improve patients' response to stroke
title_sort cardiovascular surgery experience does not significantly improve patients' response to stroke
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6790311/
https://www.ncbi.nlm.nih.gov/pubmed/31515973
http://dx.doi.org/10.1002/brb3.1405
work_keys_str_mv AT lishengde cardiovascularsurgeryexperiencedoesnotsignificantlyimprovepatientsresponsetostroke
AT cuiliying cardiovascularsurgeryexperiencedoesnotsignificantlyimprovepatientsresponsetostroke
AT andersoncraig cardiovascularsurgeryexperiencedoesnotsignificantlyimprovepatientsresponsetostroke
AT gaochunpeng cardiovascularsurgeryexperiencedoesnotsignificantlyimprovepatientsresponsetostroke
AT yuchengdong cardiovascularsurgeryexperiencedoesnotsignificantlyimprovepatientsresponsetostroke
AT shanguangliang cardiovascularsurgeryexperiencedoesnotsignificantlyimprovepatientsresponsetostroke
AT wanglongde cardiovascularsurgeryexperiencedoesnotsignificantlyimprovepatientsresponsetostroke
AT pengbin cardiovascularsurgeryexperiencedoesnotsignificantlyimprovepatientsresponsetostroke
AT cardiovascularsurgeryexperiencedoesnotsignificantlyimprovepatientsresponsetostroke