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Updated: Apr 23, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

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Outcomes after surgery in patients with previous stroke.

C C Liao1, P Y Chang, C C Yeh

  • 1Department of Anaesthesiology, Health Policy Research Centre, Taipei Medical University Hospital, Taipei, Taiwan; Health Policy Research Centre, Taipei Medical University Hospital, Taipei, Taiwan; School of Medicine, Taipei Medical University, Taipei, Taiwan; Department of School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan.

The British Journal of Surgery
|September 17, 2014
PubMed
Summary

Patients with a history of stroke face nearly double the risk of death within 30 days after non-neurological surgery. This increased risk is linked to various postoperative complications and specific stroke types.

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Area of Science:

  • Medical research
  • Public health
  • Surgical outcomes

Background:

  • Limited data exists on stroke history and surgical outcomes.
  • Investigating postoperative results in non-neurological surgery patients with prior stroke is crucial.

Purpose of the Study:

  • To assess the association between a history of stroke and postoperative outcomes.
  • To compare 30-day complications and in-hospital mortality in patients with and without previous stroke undergoing non-neurological surgery.

Main Methods:

  • Nationwide cohort study using Taiwan's National Health Insurance Research Database (2008-2010).
  • Propensity score-matched comparison of patients with and without stroke history undergoing non-neurological surgery.
  • Analysis of 30-day postoperative complications and in-hospital mortality.

Main Results:

  • Over 1.4 million surgeries analyzed; 45,420 patients had a prior stroke.
  • Patients with stroke history showed increased risks of pneumonia, septicaemia, acute renal failure, myocardial infarction, and pulmonary embolism.
  • 30-day in-hospital mortality was significantly higher in patients with prior stroke (adjusted RR 1.79).
  • Intracerebral hemorrhage, intensive care, and recent stroke (1-6 months prior) further elevated mortality risk.

Conclusions:

  • Previous stroke significantly increases the risk of adverse postoperative outcomes.
  • 30-day in-hospital mortality nearly doubles for surgical patients with a stroke history.
  • Risk stratification and tailored perioperative care are essential for these patients.