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09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Cardiovascular surgery experience does not significantly improve patients' response to stroke
Shengde Li1, Li-Ying Cui1, Craig Anderson2,3
1Department of Neurology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.
Brain and Behavior
|September 14, 2019
Summary
Patients with a history of cardiovascular surgery do not show a greater likelihood of recognizing stroke or calling emergency medical services (EMS). Counseling on stroke recognition and risk factor control is recommended for these patients.
Area of Science:
- Neurology
- Cardiology
- Public Health
Background:
- Patients with a history of cardiovascular surgery face increased stroke risk.
- Prompt emergency medical services (EMS) activation is critical for effective stroke reperfusion therapy.
Purpose of the Study:
- To investigate the impact of a cardiovascular surgical history on stroke recognition and the intent to call EMS.
- To analyze the association between cardiovascular surgery history and timely stroke response.
Main Methods:
- Cross-sectional community-based study in China (January-May 2017).
- Analysis of 186,167 individuals across 69 administrative areas.
- Multivariable logistic regression models to assess associations between cardiovascular surgical history and stroke recognition or EMS intent.
Main Results:
- 0.1% of the population had a cardiovascular surgery history.
- Stroke recognition rate was 84.9% and correct action rate was 74.7% in the surgery group.
- Cardiovascular surgical history did not significantly impact stroke recognition or the likelihood of calling EMS after full adjustment.
Conclusions:
- A history of cardiovascular surgery does not appear to influence patients' propensity to call EMS promptly during a stroke.
- Enhanced patient education on stroke symptom recognition and risk factor management is crucial for individuals with a history of cardiovascular surgery.
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