The goal of this systematic review was to find evidence for a correlation between carotid artery stenosis and perioperative stroke in patients undergoing cardiac surgery. Articles were searched in NCBI Pubmed, and appraised based on several criteria, to explore the evidence for a correlation between carotid stenosis and perioperative stroke. A total of 96 articles were found with the search strategy. Also references as well as related articles were screened. A total of six articles matched the criteria and results were accurately analysed. Concluding, the incidence of carotid stenosis is signifiantly higher in stroke patients, comparted to patients without stroke. However, carotid stenosis is the aetiological factor of stroke in just a little number of patients, who suffer from stroke and is more likely an additional co-morbidity, without an independent correlation.
Inhaltsverzeichnis (Table of Contents)
- 1 Introduction
- 2 Methods
- 2.1 Search method
- 2.2 Evaluation criteria for the articles
- 2.2.1 Inclusion criteria
- 2.2.2 Outcome measures
- 3 Results
- 3.1 Study results
- 3.2 Evaluation of the studies
- 3.3 Comparison of the studies
- 4 Discussions and Conclusion
- 5 References
Zielsetzung und Themenschwerpunkte (Objectives and Key Themes)
The purpose of this systematic review was to determine if there is evidence for a correlation between carotid artery stenosis and perioperative stroke in patients undergoing cardiac surgery. This research examined a comprehensive collection of articles published in PubMed (until April 2009) to explore the relationship between these factors. The review considered a number of criteria to evaluate the selected articles, including study type, size, outcome, and various aspects of methodological rigor.
- The prevalence of carotid stenosis in patients undergoing cardiac surgery and its potential role as a risk factor for stroke.
- The relationship between the severity of carotid stenosis and the incidence of perioperative stroke.
- The effectiveness of preoperative carotid artery screening in identifying patients at risk for stroke.
- The impact of other factors, such as patient characteristics and intra-operative variables, on stroke risk.
- The correlation between carotid stenosis and other co-morbidities, such as history of stroke or TIA, and their influence on stroke risk.
Zusammenfassung der Kapitel (Chapter Summaries)
Introduction: This chapter introduces the topic of perioperative stroke during cardiac surgery, highlighting its significance as a major complication. It also mentions the prevalence of carotid stenosis in these patients and discusses the debate surrounding its role as an independent risk factor for stroke.
Methods: This chapter outlines the methodology employed in the systematic review. It describes the literature search process, the criteria used to evaluate articles, and the inclusion and exclusion criteria for selecting studies for analysis. The chapter provides a detailed explanation of the search strategy, which involved using multiple search terms, alternative terms, and "Mesh terms" in PubMed. It also emphasizes the importance of considering the language of the articles and the inclusion of related articles and references.
Results: This chapter presents the findings of the systematic review. It describes the initial search results, the screening process, and the final selection of six articles that met the inclusion criteria. The chapter then summarizes the key findings of each study, focusing on the correlation between carotid stenosis and stroke incidence. It also highlights the importance of considering other factors, such as patient characteristics and intra-operative variables, when evaluating the relationship between carotid stenosis and stroke.
Schlüsselwörter (Keywords)
This study focused on the correlation between carotid stenosis and perioperative stroke during heart surgery. Important keywords include carotid artery stenosis, perioperative stroke, cardiac surgery, preoperative screening, stroke incidence, risk factors, and co-morbidities. The analysis included various aspects of research methodology, such as study type, size, outcome, and statistical analysis. The research also considered the influence of various patient characteristics, intra-operative variables, and pre-existing conditions, such as history of stroke or TIA, on the relationship between carotid stenosis and stroke risk.
- Quote paper
- Darius Henatsch (Author), 2009, The Correlation Between Carotid Stenosis and Perioperative Stroke During Heart Surgery: Is There Real Evidence? , Munich, GRIN Verlag, https://www.grin.com/document/134470