Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Review the data of patients who underwent coronary artery bypass grafting (CABG) at the Department of Cardiovascular Surgery in Ruijin hospital from March 2020 to May 2022, including medical history, head and neck CTA, head CT scan, and early postoperative (within 7 days after surgery) neurological complications (defined as a composite of stroke, delayed awakening and severe delirium) . Case-control and retrospective cohorts were built to explore risk factors of early postoperative neurological complications, And its association with baseline carotid-cerebral vascular disease.
Describe the epidemiological data of early postoperative neurological complications (stroke, delayed awakening, and severe delirium) after CABG surgery (within 7 days after surgery); explore independent risk factors of compound neurological complications, build predictive models; compare the effects of carotid-cerebral artery disease on early postoperative compound neurological complications.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| With moderate or severe carotid-cerebral artery disease | moderate (stenosis 50-69%) or severe (stenosis 70-100%) carotid-cerebral artery disease | ||
| Without moderate or severe carotid-cerebral artery disease | mild (stenosis 30-49%) or no (stenosis 0-29%) carotid-cerebral artery disease |
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| the incidence of 7-day neurological complications | a composite of stroke, delayed awakening, severe delirium | within 7 days post-CABG |
| the incidence of 7-day stroke | including cerebral infarction, cerebral hemorrhage, and hypoxic-ischemic encephalopathy | within 7 days post-CABG |
| the incidence of delayed awakening | post-surgery patient does not wake up at 48 hours after withdrawing sedative | within 48 hours post-CABG |
| the incidence of severe delirium | ICU CAM-II score≥2 points | within 7 days post-CABG |
| Measure | Description | Time Frame |
|---|---|---|
| the incidence of All-cause death | Death from any cause | 7 days, 30 days and 1 year post-CABG |
| the incidence of CV-death | Including death resulting from an acute myocardial infarction , sudden cardiac death, death due to heart failure, death due to stroke, death due to cardiovascular procedures, death due to cardiovascular hemorrhage, and death due to other cardiovascular causes |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Patients received CABG at the department of cardiac surgery in Ruijin hospital.
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Qiang Zhao, MD | Ruijin Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ruijin Hospital Shanghai Jiao Tong University School of Medicine | Shanghai | Shanghai Municipality | 200025 | China |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| 7 days, 30 days and 1 year post-CABG |
| the incidence of myocardial infraction | According to the 2017 Cardiovascular and Stroke Endpoint Definitions for Clinical Trials, including CABG-related MI, non CABG-related MI, silent MI and unknown type. | 7 days, 30 days and 1 year post-CABG |
| the incidence of repeat revascularization | any PCI and CABG. | 7 days, 30 days and 1 year post-CABG |