Risk of Stroke After Colorectal Surgery for Cancerous Versus Benign Conditions

Rajeev‐Kumar, Greeshma; Sarpel, Umut; Dhamoon, Mandip S.

doi:10.1016/j.jstrokecerebrovasdis.2018.07.037

Cited by 4 publications

(4 citation statements)

References 33 publications

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“…They reported a significantly lower risk of ischemic stroke with laparoscopic vs open colectomy (hazard ratio 0.59). 24 A retrospective analysis of the Nationwide Inpatient…”

Section: Discussionmentioning

confidence: 99%

“…They reported a significantly lower risk of ischemic stroke with laparoscopic vs open colectomy (hazard ratio 0.59). 24 A retrospective analysis of the Nationwide Inpatient Sample in the United States revealed that out of total 230 006 elective admissions for open colectomy, 1.0% experienced myocardial infarction, and 0.41% cardiac arrest. 25 A meta‐analysis showed that the laparoscopic right colectomy procedures had favourable outcomes in terms of cardiac complications, including acute coronary syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…Rajeev‐Kumar et al reported the incidence of ischemic stroke, assessed using the US national database, as 0.084% and 0.2% in 30 and 90 days, respectively, after colectomy (36% of the procedure was laparoscopic surgery). They reported a significantly lower risk of ischemic stroke with laparoscopic vs open colectomy (hazard ratio 0.59) 24 . A retrospective analysis of the Nationwide Inpatient Sample in the United States revealed that out of total 230 006 elective admissions for open colectomy, 1.0% experienced myocardial infarction, and 0.41% cardiac arrest 25 .…”

Section: Discussionmentioning

confidence: 99%

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The incidence of cardiovascular thrombotic complications after laparoscopic resection in colorectal cancer in Japanese hospitals: A large‐scale clinical study

Ichikawa

Homma

Funakoshi

et al. 2021

Annals of Gastroent Surgery

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Aim The aim of this retrospective study was to investigate the incidence of cardiovascular thrombotic complications after laparoscopic resection in colorectal cancer. Methods This study involved 2017 patients with stages 0‐III colorectal cancer who underwent laparoscopic surgery at 17 Japanese hospitals between January 2010 and December 2013. We assessed the incidence of postoperative cardiovascular thrombotic and haemorrhagic complications. Results Laparoscopic surgeries were performed in 1152 men and 865 women with 1405 colon and 612 rectal cancers, respectively. Overall, 3%, 38%, 17%, 8%, and 9% of patients had comorbidities of heart failure, high blood pressure, diabetes, history of stroke, and vascular disease, respectively. Antithrombotic agents were being consumed by 17% of patients. The types (and perioperative rest periods) of the antithrombotic agents were aspirin in 58% (18.6 days), clopidogrel in 19% (21.1 days), cilostazol in 13% (13.3 days), and warfarin potassium in 21% (14.6 days) of cases with antithrombotic agents. Surgical time and blood loss in the total cohort were 234 minutes and 56 mL. Four cases (0.2%) had cardiovascular thrombotic complications, including one severe cardiac infarction and one stroke with major sequelae (CHADS2 scores were 2 points in both cases). Hemorrhagic complications occurred in 19 cases (0.9%). In particular, the incidence of the major gastroduodenal haemorrhagic ulcer was higher in cases with antithrombotic agents than without them (0.05% vs 0%, P = .02). Conclusion The incidence of cardiovascular thrombotic complications was rare, although severe cardiac infarction and stroke could occur even after minimally invasive surgery in colorectal cancer.

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“…They reported a significantly lower risk of ischemic stroke with laparoscopic vs open colectomy (hazard ratio 0.59). 24 A retrospective analysis of the Nationwide Inpatient…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The incidence of cardiovascular thrombotic complications after laparoscopic resection in colorectal cancer in Japanese hospitals: A large‐scale clinical study

Ichikawa

Homma

Funakoshi

et al. 2021

Annals of Gastroent Surgery

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“…Published data regarding 30dRA rates and risk factors following sICH is largely limited to single institution studies and relatively small registries. The Nationwide Readmission Database (NRD) is currently the largest all-payer nationally accrued database in the United States developed specifically to capture readmissions data and has recently been used to study readmissions for several neurologic and neurosurgical conditions [1,10,21,23,26,27,28,29,30]. This study utilized the NRD to provide a large scale, national database analysis of 30dRA rates following sICH.…”

Section: Introductionmentioning

confidence: 99%

Annual incidences and predictors of 30-day readmissions following spontaneous intracerebral hemorrhage from 2010 to 2014 in the United States: A retrospective Nationwide analysis

Hoffman

Furst

Jalal

et al. 2020

Heliyon

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Objective: 30-day readmission rate is a quality metric often employed to represent hospital and provider performance. Currently, little is known regarding 30-day readmissions (30dRA) following spontaneous intracerebral hemorrhage (sICH). The purpose of this study was to use a national database to identify risk factors and trends in 30dRAs following sICH. Patients and methods: 64,909 cases with a primary diagnosis of sICH were identified within the Nationwide Readmission Database (NRD) from 2010 through 2014. Charlson Comorbidity Index (CCI) was used to adjust for the severity of each patient's comorbidities. A binary logistic regression model was constructed to identify predictors of 30-day readmission. Cochran-Mantel-Haenszel test was used to generate a pooled odd ratio (OR) describing the likelihood of experiencing a 30dRA according to year. Results: The 30dRA rate following sICH decreased from 13.9% in 2010 to 12.5% in 2014 (pooled OR ¼ 0.90, 95% CI 0.87-0.94). Cerebrovascular and cardiovascular etiologies accounted for the greatest number of admissions (36.1%). Sodium abnormality, healthcare-associated infection, gastrostomy, venous thromboembolism, and ischemic stroke during the index admission were associated with 30-day readmission. Furthermore, patients who underwent ventriculostomy (OR ¼ 1.20, 95% CI 1.03-1.38) and craniotomy (OR ¼ 1.20, 95% CI 1.09-1.31) were more likely to be readmitted within 30 days. Hospital volume, hospital teaching status, mechanical ventilation, and tracheostomy did not affect 30dRAs. Median readmission costs increased from $9,875 in 2012 to $11,028 in 2014 (p ¼ 0.040). Conclusion: The overall U.S. 30dRA rate after sICH from 2010 to 2014 was 12.9% and decreased slightly during this time period, but associated costs increased. Prospective studies are required to confirm the risk factors described in this study and to identify methods for preventing readmissions.

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The Effect of a Cancer History on Patients with Acute Myocardial Infarction After Percutaneous Coronary Intervention

et al. 2021

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Risk of Stroke After Colorectal Surgery for Cancerous Versus Benign Conditions

Cited by 4 publications

References 33 publications

The incidence of cardiovascular thrombotic complications after laparoscopic resection in colorectal cancer in Japanese hospitals: A large‐scale clinical study

The incidence of cardiovascular thrombotic complications after laparoscopic resection in colorectal cancer in Japanese hospitals: A large‐scale clinical study

Annual incidences and predictors of 30-day readmissions following spontaneous intracerebral hemorrhage from 2010 to 2014 in the United States: A retrospective Nationwide analysis

The Effect of a Cancer History on Patients with Acute Myocardial Infarction After Percutaneous Coronary Intervention

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