Patients who have sustained a stroke should wait 9 months before having an elective surgery. Timing is important when it comes to surgery after a stroke, patients who had an ischemic stroke within 3 months before undergoing elective noncardiac surgery were at relatively high risk for cardiovascular events and mortality but that the risks stabilized after 9 months. Its not actually a matter of the longer you wait, the better. The analysis using time elapsed between stroke and surgery as a continuous measurement showed that there is a very steep decrease in risks before 9 months, but after 9 months there are no statistically significant increased risks. And if the time increases to 12 months or 2 years, or even 5 years, there is no further decrease in risks. Mads E. Jørgensen, MB, Department of Cardiology, Gentofte Hospital, University of Copenhagen, Denmark, published online July 16 in JAMA.
Posted on: Tue, 22 Jul 2014 09:34:01 +0000