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首页> 外文期刊>American journal of medical quality: the official journal of the American College of Medical Quality >Effect of neurology consults on outcomes for patients suffering transient ischemic attacks after coronary artery bypass grafting.
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Effect of neurology consults on outcomes for patients suffering transient ischemic attacks after coronary artery bypass grafting.

机译：神经病学对冠状动脉搭桥术后短暂性脑缺血发作患者预后的影响。

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摘要

Stroke patients appear to have lower morbidity and mortality rates and better outcomes when neurologists serve as the primary admitting physician. The effect of neurological consultations on coronary artery bypass graft (CABG) patients who have suffered a postoperative transient ischemic attack (TIA) has not yet been determined. The authors evaluated whether neurology consultations improved outcomes. A retrospective analysis was conducted of CABG patients from a high-volume tertiary care center. Primary end points included 30-day mortality, discharge disposition, length of stay, and 1-year incidence of stroke. Post-CABG TIA patients receiving a neurological consult (N = 127) were compared with propensity-matched controls. Thirty-day mortality was identical (3.1%), with nonsignificant difference in long-term incidence of stroke. There were no differences in home discharges or length of stay. Including a neurologist in the treating team for patients suffering TIAs after CABG appears not to reduce post-operative incidence of morbidity and mortality, reduce length of stay, or improve patient disposition at discharge.
机译：当神经科医师担任主治医师时，中风患者的发病率和死亡率似乎较低，而预后较好。尚未确定神经系统会诊对患有术后短暂性脑缺血发作（TIA）的冠状动脉搭桥术（CABG）患者的影响。作者评估了神经内科会诊是否改善了预后。对来自大量三级护理中心的CABG患者进行了回顾性分析。主要终点包括30天死亡率，出院情况，住院时间和1年中风发生率。将接受神经科咨询（N = 127）的CABG TIA后患者与倾向匹配的对照组进行比较。三十天死亡率相同（3.1％），中风的长期发生率无显着差异。家庭出院或住院时间没有差异。在CABG后患有TIA的患者的治疗团队中包括一名神经科医生，这似乎并未降低术后发病率和死亡率，缩短住院时间或改善出院时的病情。

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