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Effect of Neurology Consults on Outcomes for Patients Suffering Transient Ischemic Attacks After Coronary Artery Bypass Grafting
Tanya Warwick,
Maher Kali,
William Carter,
Kristi Lucas,
Shahana Masood,
Rana Dawli,
Mike Broce,
and
Bernardo Reyes*
* To whom correspondence should be addressed. E-mail: bernardo.reyes{at}camc.org.
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Abstract |
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Stroke patients appear to have lower morbidity and mortality rates and better outcomes when neurologists serve as the primary admitting physician. The effect of neurological consultations on coronary artery bypass graft (CABG) patients who have suffered a postoperative transient ischemic attack (TIA) has not yet been determined. The authors evaluated whether neurology consultations improved outcomes. A retrospective analysis was conducted of CABG patients from a high-volume tertiary care center. Primary end points included 30-day mortality, discharge disposition, length of stay, and 1-year incidence of stroke. Post-CABG TIA patients receiving a neurological consult were compared with propensity-matched controls. Thirty-day mortality was identical (3.1%), with nonsignificant difference in long-term incidence of stroke. There were no differences in home discharges or length of stay. Including a neurologist in the treating team for patients suffering TIAs after CABG appears not to reduce postoperative incidence of morbidity and mortality, reduce length of stay, or improve patient disposition at discharge. (Am J Med Qual XXXX;XX:xx-xx)
First published on November 4, 2008, doi:10.1177/1062860608324545
American Journal of Medical Quality 2008;23:457.
A more recent version of this article appeared on November 1, 2008
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