The impact of perioperative stroke and delirium on outcomes after surgical aortic valve replacement.

ABSTRACT:

Objective

The effects of stroke and delirium on postdischarge cognition and patient-centered health outcomes after surgical aortic valve replacement (SAVR) are not well characterized. Here, we assess the impact of postoperative stroke and delirium on these health outcomes in SAVR patients at 90 days.

Methods

Patients (N = 383) undergoing SAVR (41% received concomitant coronary artery bypass graft) enrolled in a randomized trial of embolic protection devices underwent serial neurologic and delirium evaluations at postoperative days 1, 3, and 7 and magnetic resonance imaging at day 7. Outcomes included 90-day functional status, neurocognitive decline from presurgical baseline, and quality of life.

Results

By postoperative day 7, 25 (6.6%) patients experienced clinical s

SUBMITTER: Messe SR 

PROVIDER: S-EPMC9996687 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature