Navigation Links
Surgery Soon After Stroke Can Be Risky: Study

HealthDay Reporter

TUESDAY, July 15, 2014 (HealthDay News) -- People who've had a stroke face a significantly higher risk of serious complications if they have an elective surgery during the nine months following their stroke, according to a new Danish study.

And, the sooner it is after the stroke, the greater the risk.

The odds of another stroke, heart attack or cardiovascular death are 14 times higher for people who have elective surgery within three months of a stroke, the study found. If you wait until between three and six months post-stroke, the odds drop to about five times as high compared to someone who hasn't had a stroke. At six to 12 months after a stroke, the odds of a serious outcome are about three times higher versus those who've never had a stroke.

About nine months after a stroke, the risks from surgery are still elevated but have stabilized, according to the study's lead author, Dr. Mads Jorgensen, a research assistant in the department of cardiology at the University of Copenhagen in Denmark.

"Even surgeries traditionally considered low-risk are associated with a risk at least as high as intermediate- and high-risk surgery. Thus no surgery may be considered safe in this group of patients with a history of stroke," he said.

The report appears in the July 16 issue of the Journal of the American Medical Association.

Dr. Ralph Sacco, chair of neurology at the University of Miami Miller School of Medicine and author of an accompanying journal editorial, said, "Stroke patients are always at increased risk for a recurrent stroke or other heart events, particularly after surgery."

The increased risk of problems could be the result of stopping anti-clotting drugs, such as aspirin and warfarin, before surgery or changes in the patient's blood pressure or clotting during surgery, he said.

"We may not be able to avoid surgery, but we should find ways to do it more safely, especially among survivors of stroke," Sacco said.

Dr. Jay Yasen, director of the stroke service at Winthrop-University Hospital in Mineola, N.Y., added, "This study raises further concerns, and should give pause to surgeons who are planning elective surgeries."

Yasen suggested, "Patients who need elective surgery and have a history of stroke should have a discussion with their neurologist and surgeon concerning the timing of both the surgery and withholding of anti-clotting medications."

For the study, Jorgensen's team collected data on more than 480,000 patients who had non-heart elective surgery from 2005 to 2011. Of those, just over 7,100 had a history of stroke.

The investigators found that patients who had a stroke prior to having surgery were more likely to have another stroke, a heart attack or die in the month after surgery than those who hadn't had a stroke.

In fact, per 1,000 people having elective surgery, about 54 stroke patients were likely to have one of these events, compared with about 4 of those who didn't have a stroke.

Overall, the researchers found the risk of dying in the 30 days following surgery was increased 1.8-fold, and the risk of another stroke or a heart attack was increased 4.8-fold for people who'd had a past stroke, no matter how long it had been since the stroke, the study found.

Dr. Alexander Ortiz, director of neuro-endovascular surgery and stroke at Lenox Hill Hospital in New York City, said, "Patients should wait at least nine months after a stroke before having elective surgery. If it's an emergency, then, obviously, the rule will be waived."

More information

For more information on stroke, visit the U.S. National Library of Medicine.

SOURCES: Mads Jorgensen, M.B., research assistant, department of cardiology, University of Copenhagen, Denmark; Rafael Alexander Ortiz, M.D., director, neuro-endovascular surgery and stroke, Lenox Hill Hospital, New York City; Jay Yasen, M.D., director, stroke service, Winthrop-University Hospital, Mineola, N.Y.; Ralph Sacco, M.D., chair, neurology, University of Miami Miller School of Medicine; July 16, 2014, Journal of the American Medical Association

Copyright©2014 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Saltier intravenous fluids reduce complications from surgery
2. Hamilton Facial Plastic Surgery Unveils New Website
3. Blood Thinners May Not Be Needed for Kids Back Surgery
4. Europe Cardiac Surgery Device Market Value to Go Beyond USD 3.4 Bn by 2020, According to iData Research Study Available at
5. Renowned Melbourne Plastic Surgery Practice Names New COO
6. Cataract Surgery a Plus for Someone With Dementia, Study Says
7. DePuy Pinnacle Hip Lawsuit Filed By Wright & Schulte LLC On Behalf of Ohio Man Who Required Revision Surgery Purportedly From Defective Hip Implant
8. Delaying Kids Knee Surgery Could Be a Bad Play, Study Finds
9. Stabilizing Shoulder Surgery Helps NFL Players Return to the Game
10. Shu Cosmetic Surgery of Twin Cities Now Offers Complimentary Perineoplasty in Laser Vaginal Rejuvenation
11. Shoulder Surgery Gets NFL Players Back in the Game
Post Your Comments:
Related Image:
Surgery Soon After Stroke Can Be Risky: Study
(Date:12/1/2015)... (PRWEB) , ... December 01, 2015 , ... ... Luxury’s Angeleno Magazine as a Modern Man for 2015. , Angeleno Magazine ... in the United States. Established in 1994, Modern Luxury includes more than 50 ...
(Date:11/30/2015)... , ... November 30, 2015 , ... ... engine optimization companies, announced today that it has officially launched a sleek, mobile-ready ... SEO, explained that his company’s new website clearly outlines the benefits that its ...
(Date:11/30/2015)... ... December 01, 2015 , ... The Turks & Caicos Islands has enjoyed ... digital news sites highlighting Caribbean destinations, has published five reasons to visit the Turks ... America shivers under chilly grey skies or worse, it's typically a balmy 80 degrees ...
(Date:11/30/2015)... ... 01, 2015 , ... The National Association of Professional ... its VIP Woman of the Year Circle. She is recognized with this prestigious ... for professional women, boasting 850,000 members and over 200 operating Local Chapters. , ...
(Date:11/30/2015)... ... November 30, 2015 , ... Being a ... At the VA Maryland Health Care System, the Caregiver Support Program promotes the ... have a difficult job. Seventy-four percent report that their role as a caregiver ...
Breaking Medicine News(10 mins):
(Date:12/1/2015)... UPPSALA, Sverige, December 1, 2015 ... Breast Cancer Study Group (IBCSG, Bern ... att ingå i en klinisk studie av palbociclib, ... --> Studien, med namn PYTHIA, ... med anti-hormonella läkemedel i kombination med palbociclib, som ...
(Date:11/30/2015)... MAPLE GROVE, Minn. and BASEL, ... Upsher-Smith Laboratories, Inc. (Upsher-Smith), through its wholly-owned ... for the further development of a novel, oral small ... cell-adhesion molecule that may be effective in the treatment ... Phase II clinical development. --> ...
(Date:11/30/2015)... Dec. 1, 2015 Express Scripts (NASDAQ: ESRX ... IMMY ) to drive access to a low-cost alternative ... of toxoplasmosis that has been recently priced out of reach ... immune systems. --> --> ... leucovorin (a form of folic acid) for $1 per capsule for ...
Breaking Medicine Technology: