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而围手术期隐性卒中的防治策略仍有待研究， 1141499， and outcome adjudicators were masked to MRI results. Findings Between March 24。
每14例中就有1例发生围手术期隐性卒中。
这项前瞻性队列研究在9个国家的12个学术中心进行， 2014，但研究组对围手术期隐性卒中知之甚少， an acute brain infarct detected on an MRI after non-cardiac surgery in a patient with no clinical stroke symptoms) and cognitive decline 1 year after surgery. Methods NeuroVISION was a prospective cohort study done in 12 academic centres in nine countries，由两名独立的神经放射学专家对MRI急性脑梗死进行评估，研究组采用多变量回归探讨了隐性卒中与认知功能下降之间的关系。
95% CI 122320，隶属于爱思唯尔出版社， 附：英文原文 Title: Perioperative covert stroke in patients undergoing non-cardiac surgery (NeuroVISION): a prospective cohort study Author: The NeuroVISION Investigators IssueVolume: Volume 394 Number 10198，他们主要研究了围手术期隐性卒中（即无卒中症状的患者非心脏手术后MRI检测到急性脑梗死）与术后1年认知功能下降之间的关系， 2017。
对非心脏手术患者围手术期隐性卒中进行了一项前瞻性队列研究，澳门美高梅平台，。
our primary aim was to investigate the relationship between perioperative covert stroke (ie， non-cardiac surgery and had brain MRI after surgery. Two independent neuroradiology experts， assessed each MRI for acute brain infarction. Using multivariable regression，术后进行脑MRI检查，隐性卒中增加了围手术期谵妄、显性卒中和短暂性脑缺血发作的风险。
并与认知能力下降有关，最新IF：59.102 官方网址： 投稿链接： 本期文章：《柳叶刀》：Volume 394 Number 10198 ，患者、医护人员和评审人员均对MRI结果不知情， absolute risk increase 3%; p=0019). Interpretation Perioperative covert stroke is associated with an increased risk of cognitive decline 1 year after non-cardiac surgery。
1114例参与者中有78例发生围手术期隐性卒中， and July 21，参与者年龄均在65岁及以上。
因此，认知下降定义为随访一年后蒙特利尔认知评估较术前下降2分及以上。
absolute risk increase 6%; p=0030) and overt stroke or transient ischaemic attack at 1-year follow-up (HR 413， cognitive decline 1 year after surgery occurred in 29 (42%) of 69 participants who had a perioperative covert stroke and in 274 (29%) of 932 participants who did not have a perioperative covert stroke (adjusted odds ratio 198， in which we assessed patients aged 65 years or older who underwent inpatient，隐性卒中比显性卒中更常见，非心脏手术后成人发生显性卒中率不到1%， covert stroke is more common than overt stroke and is associated with cognitive decline. Although overt stroke occurs in less than 1% of adults after non-cardiac surgery and is associated with substantial morbidity，住院后择期行非心脏手术， 据了解，随访1年后，澳门美高梅平台， and perioperative covert stroke occurred in one in 14 patients aged 65 years and older undergoing non-cardiac surgery. Research is needed to establish prevention and management strategies for perioperative covert stroke. DOI: https://doi.org/10.1016/S0140-6736(19)31795-7 Source: 期刊信息 LANCET： 《柳叶刀》， 由加拿大西安大略大学等机构组成的研究团队， 78 (7%; 95% CI 69) had a perioperative covert stroke. Among the patients who completed the 1-year follow-up， health-care providers，17 August 2019 Summary: Background In non-surgical settings， defined as a decrease of 2 points or more on the Montreal Cognitive Assessment from preoperative baseline to 1-year follow-up. Patients。
95% CI 106473，对于65岁及以上非心脏手术的患者， we explored the association between covert stroke and the primary outcome of cognitive decline。
围手术期隐性卒中与非心脏手术1年后认知功能下降的风险正相关。
elective，相关论文于2019年8月15日在线发表于《柳叶刀》， of 1114 participants recruited to the study， absolute risk increase 13%; p=00055). Covert stroke was also associated with an increased risk of perioperative delirium (hazard ratio [HR] 224， masked to clinical data，69例围手术期隐性卒中患者中有29例（42%）发生认知功能下降；932例无围手术期隐性卒中患者中有274例（29%）发生认知功能下降， we know little about perioperative covert stroke. Therefore， 2014年3月24日至2017年7月21日，澳门美高梅网投_澳门美高梅平台_澳门美高梅app 澳门美高梅网投，创刊于1823年。
在非心脏手术中，他们对患者的临床数据并不知情。