title: Recognition and Management of Perioperative Stroke in Hospitalized Patients.
abstract: We sought to characterize stroke management and outcomes in a postoperative population. By using the electronic medical records, we identified 39 patients suffering perioperative stroke after noncardiac and nonneurosurgical procedures for whom documentation of management and outcomes was available. Thirty-three strokes occurred during admission, whereas 6 occurred after discharge and were recognized upon return to the hospital. Perioperative stroke was associated with delayed recognition, infrequent intervention, and significant rates of morbidity and mortality, suggesting the need for improved screening and more rapid treatment. There may be disparities in care and outcomes between in-hospital and out-of hospital stroke patients, though further study is warranted.
authors.affiliation: From the *Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, Michigan; †University of Michigan Medical School, Ann Arbor, Michigan; and ‡Department of Anesthesia, University of California San Francisco School of Medicine, San Francisco, California.
authors.forename: Phillip E
authors.initials: PE
authors.lastname: Vlisides
authors.forename: George A
authors.initials: GA
authors.lastname: Mashour
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Didier
authors.forename: Amy M
authors.initials: AM
authors.lastname: Shanks
authors.forename: Adam
authors.initials: A
authors.lastname: Weightman
authors.forename: Adrian W
authors.initials: AW
authors.lastname: Gelb
authors.forename: Laurel E
authors.initials: LE
authors.lastname: Moore
mesh_terms: D015331:Cohort Studies; D019468:Disease Management; D006760:Hospitalization / Q000639:trends; D006801:Humans; D019990:Perioperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D012307:Risk Factors; D020521:Stroke / Q000000981:diagnostic imaging* / Q000628:therapy*