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Abstract P527: Temporal Trend of Mechanical Thrombectomy Utilization in Treatment of Perioperative Ischemic Stroke Following Elective Inpatient Surgery in the United States

Publication ,  Conference
Shah, S; Fuller, M; Ohnuma, T; James, ML; Bartz, R; Raghunathan, K; Krishnamoorthy, V
Published in: Stroke
March 2021

Perioperative ischemic stroke (PIS) significantly increases morbidity and mortality in patients undergoing elective surgery. Mechanical thrombectomy (MT) can improve outcomes of ischemic stroke, but the frequency and trend of its utilization for treatment of PIS is not studied. In this retrospective observational study using the Premier Healthcare Database, we identified adults who underwent elective inpatient surgery from 2008 to 2018. Patients with PIS were identified using the established International Classification of Diseases (ICD) ninth revision codes or equivalent ICD, tenth revision codes. Cases that underwent MT were further identified using established ICD9 and ICD10 procedure codes. Descriptive statistics were used to compare patient and center level characteristics between patients who received MT versus did not after PIS. Of 6,349,668 patients with elective inpatient surgery, 12,507 (0.2%) had PIS. The mean age (and standard deviation) of these patients was 69.5 (11.7) years, and 48.8% were female. MT was used in 1.7% of all patients with PIS and its use increased from 0.0% in 3 quarter, 2008 to 4.4% in 4 quarter, 2018. There was a significant increase in the use of MT after 3 quarter, 2015 when MT use was incorporated in acute stroke treatment guidelines (1.14% before 3 quarter, 2015 versus 3.07% after; p<0.0001). Amongst patients with PIS, patients who received mechanical thrombectomy were more likely to have their surgery performed at a teaching institute (67.3% versus 53.9%). Although there was a significant increase in rates of utilization of MT, rates of utilization remain low, especially in non-teaching hospitals. This highlights improvements in the management of perioperative ischemic strokes and further opportunities to improve outcomes.

Duke Scholars

Published In

Stroke

DOI

EISSN

1524-4628

ISSN

0039-2499

Publication Date

March 2021

Volume

52

Issue

Suppl_1

Publisher

Ovid Technologies (Wolters Kluwer Health)

Related Subject Headings

  • Neurology & Neurosurgery
  • 4201 Allied health and rehabilitation science
  • 3209 Neurosciences
  • 3202 Clinical sciences
  • 1109 Neurosciences
  • 1103 Clinical Sciences
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Shah, S., Fuller, M., Ohnuma, T., James, M. L., Bartz, R., Raghunathan, K., & Krishnamoorthy, V. (2021). Abstract P527: Temporal Trend of Mechanical Thrombectomy Utilization in Treatment of Perioperative Ischemic Stroke Following Elective Inpatient Surgery in the United States. In Stroke (Vol. 52). Ovid Technologies (Wolters Kluwer Health). https://doi.org/10.1161/str.52.suppl_1.p527
Shah, Shreyansh, Matthew Fuller, Tetsu Ohnuma, Michael L. James, Raquel Bartz, Karthik Raghunathan, and Vijay Krishnamoorthy. “Abstract P527: Temporal Trend of Mechanical Thrombectomy Utilization in Treatment of Perioperative Ischemic Stroke Following Elective Inpatient Surgery in the United States.” In Stroke, Vol. 52. Ovid Technologies (Wolters Kluwer Health), 2021. https://doi.org/10.1161/str.52.suppl_1.p527.
Shah S, Fuller M, Ohnuma T, James ML, Bartz R, Raghunathan K, et al. Abstract P527: Temporal Trend of Mechanical Thrombectomy Utilization in Treatment of Perioperative Ischemic Stroke Following Elective Inpatient Surgery in the United States. In: Stroke. Ovid Technologies (Wolters Kluwer Health); 2021.
Shah, Shreyansh, et al. “Abstract P527: Temporal Trend of Mechanical Thrombectomy Utilization in Treatment of Perioperative Ischemic Stroke Following Elective Inpatient Surgery in the United States.” Stroke, vol. 52, no. Suppl_1, Ovid Technologies (Wolters Kluwer Health), 2021. Crossref, doi:10.1161/str.52.suppl_1.p527.
Shah S, Fuller M, Ohnuma T, James ML, Bartz R, Raghunathan K, Krishnamoorthy V. Abstract P527: Temporal Trend of Mechanical Thrombectomy Utilization in Treatment of Perioperative Ischemic Stroke Following Elective Inpatient Surgery in the United States. Stroke. Ovid Technologies (Wolters Kluwer Health); 2021.

Published In

Stroke

DOI

EISSN

1524-4628

ISSN

0039-2499

Publication Date

March 2021

Volume

52

Issue

Suppl_1

Publisher

Ovid Technologies (Wolters Kluwer Health)

Related Subject Headings

  • Neurology & Neurosurgery
  • 4201 Allied health and rehabilitation science
  • 3209 Neurosciences
  • 3202 Clinical sciences
  • 1109 Neurosciences
  • 1103 Clinical Sciences
  • 1102 Cardiorespiratory Medicine and Haematology