Analysis of risk factors for perioperative acute cerebral vascular accident in the elderly

VernacularTitle:老年人围手术期急性脑卒中危险因素分析
Author: Jinglan ZHANG ; Qing YE ; Jianping SUN ; Zhuo ZHANG ; Jiakai LU
Publication Type:Journal Article
Keywords: Perioperative care; Cerebralvaseular accident; Risk factor
From: Chinese Journal of Geriatrics 2009;28(3):213-216
CountryChina
Language:Chinese
Abstract: Objective To analyze the risk factors for perioperative acute cerebral vascular accident (PACVA) and put forward the corresponding preventive measures.Methods The clinical data of elderly patients in our hospital who suffered from PACVA in recent 5 years were retrospectively studied.The correlation between risk factors and the occurrence of PACVA was analyzed.Results One hundred and fifty cases were enrolled in the study.Seventy eight cases of them suffered from PACVA with the average age of 70 years ranging from 60 to 98 years.Fifty six cases(71.8%)were found PACVA in one week after operation.Multiple regression analysis showed that hypertension, history of cerebrovascular disease, unstable blood pressure and obesity were independent risk factors for PACVA.The newly diagnosed perioperative atrial fibrillation and carotid atheroselerosis were the high risk factors for PACVA.Conclusions PACVA is one of the common perioperative complications.Necessary check, monitor and treat measures should be taken in the perioperative period, especially for patients with risk factors.