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Early neurologic complications following coronary bypass surgery

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dc.contributor.author Jabbour R.
dc.contributor.author Salamoun M.
dc.contributor.author Atweh S.F.
dc.contributor.author Sawaya R.A.
dc.contributor.editor
dc.date May-2008
dc.date.accessioned 2017-10-05T15:37:31Z
dc.date.available 2017-10-05T15:37:31Z
dc.date.issued 2008
dc.identifier 10.1258/rsmsmj.53.2.18
dc.identifier.isbn
dc.identifier.issn 00369330
dc.identifier.uri http://hdl.handle.net/10938/15755
dc.description.abstract Background: Coronary artery bypass surgery is associated with central and peripheral nervous system complications in the period following surgery. Recognising these complications may help in their prevention or early treatment. Methods: We reviewed medical records of all the patients who underwent coronary artery bypass surgery at our institution over a period of two years. We studied their risk factors, reasons for surgery, operative variables, and post operative neurologic complications. Results: Of the 587 coronary artery bypass surgeries performed at our centre over a two year period. We found that 2.04percent of these patients developed neurologic complication in the two weeks following the surgery. Fifty percent of these patients suffered from cerebrovascular insults and 50percent suffered from cognitive decline. No patients in this group developed seizures or peripheral nerve lesions. Patients with renal failure, carotid stenosis, history of cerebral strokes, and redo coronary bypass surgery were more predisposed to develop neurologic complications after bypass surgery. Furthermore, a longer stay in the coronary care unit and the development of arrhythmias predisposed patients to neurologic complications. Mortality for patients who developed neurologic complications post bypass surgery ranged between 16.7percent and 33.4percent. Conclusions: Around 2percent of patients who undergo coronary artery bypass surgery develop neurologic complications in the period directly after the surgery. Patients with previous history of cerebral, coronary, or carotid disease are more predisposed for such complications, as well as patients who spend more time in the intensive units after the surgery.
dc.format.extent
dc.format.extent Pages: (18-21)
dc.language English
dc.publisher GLASGOW
dc.relation.ispartof Publication Name: Scottish Medical Journal; Publication Year: 2008; Volume: 53; no. 2; Pages: (18-21);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Early neurologic complications following coronary bypass surgery
dc.type Article
dc.contributor.affiliation Jabbour, R., Department of Internal Medicine, Division of Neurology, American University Medical Center, PO Box: 113 - 6044-C-27, Beirut, Lebanon
dc.contributor.affiliation Salamoun, M., Department of Internal Medicine, Division of Neurology, American University Medical Center, PO Box: 113 - 6044-C-27, Beirut, Lebanon
dc.contributor.affiliation Atweh, S.F., Department of Internal Medicine, Division of Neurology, American University Medical Center, PO Box: 113 - 6044-C-27, Beirut, Lebanon
dc.contributor.affiliation Sawaya, R.A., Department of Internal Medicine, Division of Neurology, American University Medical Center, PO Box: 113 - 6044-C-27, Beirut, Lebanon
dc.contributor.authorAddress Sawaya, R.A.; Department of Clinical Medicine, Clinical Neurophysiology Laboratory, American University Medical Center, PO Box: 113 - 6044-C-27, Beirut, Lebanon; email: rs01@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Internal Medicine; Division: Neurology;
dc.contributor.authorDepartment Internal Medicine
dc.contributor.authorDivision Neurology
dc.contributor.authorEmail rs0l@aub.edu.ib
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Jabbour, R
dc.contributor.authorInitials Salamoun, M
dc.contributor.authorInitials Atweh, SF
dc.contributor.authorInitials Sawaya, RA
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Jabbour, R (reprint author), American Univ, Med Ctr, Director Clin Neurophysiol Lab, Div Neurol,Dept Internal Med, POB 113-6044-C-27, Beirut, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited Borger MA, 2001, EUR J CARDIO-THORAC, V19, P627, DOI 10.1016-S1010-7940(01)00649-2; BREUER AC, 1983, STROKE, V14, P682; COFFEY CE, 1983, NEUROLOGY, V33, P1416; CORMAN LC, 1979, MED CLIN N AM, V63, P1335; GONZALEZSCARANO F, 1981, NEUROLOGY, V31, P1032; Herlitz J, 1998, THORAC CARDIOV SURG, V46, P20, DOI 10.1055-s-2007-1010178; Hogue CW, 2001, CIRCULATION, V103, P2133; Janssen DPB, 1999, EUR J CARDIO-THORAC, V15, P166, DOI 10.1016-S1010-7940(98)00296-6; LEE MC, 1979, STROKE, V10, P107; MARTIN WRW, 1982, CAN J NEUROL SCI, V9, P21; McKhann GM, 2002, ARCH NEUROL-CHICAGO, V59, P1422, DOI 10.1001-archneur.59.9.1422; Roach GW, 1996, NEW ENGL J MED, V335, P1857, DOI 10.1056-NEJM199612193352501; Selnes OA, 2001, NEW ENGL J MED, V344, P451, DOI 10.1056-NEJM200102083440609; Svedjeholm R, 2001, EUR J CARDIO-THORAC, V19, P611, DOI 10.1016-S1010-7940(01)00664-9; SWEENEY PJ, 1982, NEUROLOGY, V32, P560; Taggart DP, 2001, CURR OPIN CARDIOL, V16, P271, DOI 10.1097-00001573-200109000-00003; Wolman RL, 1999, STROKE, V30, P514; Yoon BW, 2001, STROKE, V32, P94
dc.description.citedCount
dc.description.citedTotWOSCount 0
dc.description.citedWOSCount 0
dc.format.extentCount 4
dc.identifier.articleNo
dc.identifier.coden SMDJA
dc.identifier.pubmedID 18549065
dc.identifier.scopusID 47549092364
dc.identifier.url
dc.publisher.address MR K BURNSIDE, 12 BUCCLEUCH DRIVE, BEARSDEN, GLASGOW, G61 3LW, SCOTLAND
dc.relation.ispartofConference
dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr Scott. Med. J.
dc.relation.ispartOfIssue 2
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Scottish Medical Journal
dc.relation.ispartofPubTitleAbbr Scott. Med. J.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 53
dc.source.ID WOS:000259914800007
dc.type.publication Journal
dc.subject.otherAuthKeyword
dc.subject.otherChemCAS
dc.subject.otherIndex adult
dc.subject.otherIndex aged
dc.subject.otherIndex article
dc.subject.otherIndex brain infarction
dc.subject.otherIndex carotid artery obstruction
dc.subject.otherIndex cerebrovascular accident
dc.subject.otherIndex cognitive defect
dc.subject.otherIndex controlled study
dc.subject.otherIndex coronary artery bypass graft
dc.subject.otherIndex coronary artery disease
dc.subject.otherIndex coronary care unit
dc.subject.otherIndex disease predisposition
dc.subject.otherIndex female
dc.subject.otherIndex heart arrhythmia
dc.subject.otherIndex high risk patient
dc.subject.otherIndex human
dc.subject.otherIndex kidney failure
dc.subject.otherIndex length of stay
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex medical record review
dc.subject.otherIndex neurologic disease
dc.subject.otherIndex peripheral neuropathy
dc.subject.otherIndex postoperative period
dc.subject.otherIndex psychosis
dc.subject.otherIndex reoperation
dc.subject.otherIndex retrospective study
dc.subject.otherIndex risk factor
dc.subject.otherIndex seizure
dc.subject.otherIndex stroke
dc.subject.otherIndex surgical mortality
dc.subject.otherIndex surgical risk
dc.subject.otherIndex transient ischemic attack
dc.subject.otherIndex central nervous system disease
dc.subject.otherIndex chi square distribution
dc.subject.otherIndex incidence
dc.subject.otherIndex middle aged
dc.subject.otherIndex postoperative complication
dc.subject.otherIndex treatment outcome
dc.subject.otherIndex Adult
dc.subject.otherIndex Aged
dc.subject.otherIndex Central Nervous System Diseases
dc.subject.otherIndex Chi-Square Distribution
dc.subject.otherIndex Coronary Artery Bypass
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Incidence
dc.subject.otherIndex Male
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Postoperative Complications
dc.subject.otherIndex Risk Factors
dc.subject.otherIndex Treatment Outcome
dc.subject.otherKeywordPlus NERVOUS-SYSTEM COMPLICATIONS
dc.subject.otherKeywordPlus GRAFT-SURGERY
dc.subject.otherKeywordPlus CEREBROVASCULAR COMPLICATIONS
dc.subject.otherKeywordPlus CARDIAC-SURGERY
dc.subject.otherKeywordPlus RISK
dc.subject.otherKeywordPlus STROKE
dc.subject.otherKeywordPlus OUTCOMES
dc.subject.otherKeywordPlus DISEASE
dc.subject.otherKeywordPlus INJURY
dc.subject.otherWOS Medicine, General and Internal


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