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DAANISH: A mnemonic to aid in memorizing and recalling important strategies contributing to the prevention of perioperative stroke.达尼什：一种有助于记忆和回忆有助于预防围手术期卒中的重要策略的助记法。
Qatar Med J. 2024 Sep 16;2024(3):48. doi: 10.5339/qmj.2024.48. eCollection 2024.
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本文引用的文献

1
Perioperative stroke.围手术期卒中。
Nat Rev Dis Primers. 2024 Jan 18;10(1):3. doi: 10.1038/s41572-023-00487-6.
2
Incidence, risk factors and outcomes of early post-operative stroke in a university-based, tertiary care hospital: A 7-year retrospective case-control study.一所大学附属医院 7 年回顾性病例对照研究：术后早期卒中的发生率、危险因素及结局。
Medicine (Baltimore). 2023 Jul 14;102(28):e34363. doi: 10.1097/MD.0000000000034363.
3
Carbon Dioxide, Blood Pressure, and Perioperative Stroke: A Retrospective Case-Control Study.二氧化碳、血压与围手术期卒中：一项回顾性病例对照研究。
Anesthesiology. 2022 Oct 1;137(4):434-445. doi: 10.1097/ALN.0000000000004354.
4
Development and external validation of a prognostic model for ischaemic stroke after surgery.手术相关缺血性脑卒中预后模型的建立与外部验证。
Br J Anaesth. 2021 Nov;127(5):713-721. doi: 10.1016/j.bja.2021.05.035. Epub 2021 Jul 22.
5
2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association.《2021年卒中与短暂性脑缺血发作患者卒中预防指南：美国心脏协会/美国卒中协会指南》
Stroke. 2021 Jul;52(7):e364-e467. doi: 10.1161/STR.0000000000000375. Epub 2021 May 24.
6
Perioperative Neurological Evaluation and Management to Lower the Risk of Acute Stroke in Patients Undergoing Noncardiac, Nonneurological Surgery: A Scientific Statement From the American Heart Association/American Stroke Association.围手术期神经系统评估和管理以降低非心脏、非神经外科手术患者急性卒中风险：美国心脏协会/美国卒中协会的科学声明。
Circulation. 2021 May 11;143(19):e923-e946. doi: 10.1161/CIR.0000000000000968. Epub 2021 Apr 8.
7
Development and Validation of a Prediction Model for Stroke, Cardiac, and Mortality Risk After Non-Cardiac Surgery.非心脏手术后卒中、心脏和死亡风险预测模型的开发和验证。
J Am Heart Assoc. 2021 Feb 16;10(4):e018013. doi: 10.1161/JAHA.120.018013. Epub 2021 Jan 30.
8
Last Electrically Well: Intraoperative Neurophysiological Monitoring for Identification and Triage of Large Vessel Occlusions.最后电活动良好：术中神经生理监测识别和处理大血管闭塞
J Stroke Cerebrovasc Dis. 2020 Oct;29(10):105158. doi: 10.1016/j.jstrokecerebrovasdis.2020.105158. Epub 2020 Jul 29.
9
The Incidence of Perioperative Stroke: Estimate Using State and National Databases and Systematic Review.围手术期卒中的发生率：利用州和国家数据库进行的估计及系统评价
J Stroke. 2019 Sep;21(3):290-301. doi: 10.5853/jos.2019.00304. Epub 2019 Sep 30.
10
Cardiovascular Risk Scores to Predict Perioperative Stroke in Noncardiac Surgery.心血管风险评分预测非心脏手术围术期卒中。
Stroke. 2019 Aug;50(8):2002-2006. doi: 10.1161/STROKEAHA.119.024995. Epub 2019 Jun 25.

达尼什：一种有助于记忆和回忆有助于预防围手术期卒中的重要策略的助记法。

DAANISH: A mnemonic to aid in memorizing and recalling important strategies contributing to the prevention of perioperative stroke.

作者信息

Mitarnun Witoon

机构信息

Neurology Unit, Department of Internal Medicine, Buriram Hospital, Buriram, Thailand *Email:

出版信息

Qatar Med J. 2024 Sep 16;2024(3):48. doi: 10.5339/qmj.2024.48. eCollection 2024.

DOI:10.5339/qmj.2024.48
PMID:39319019
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11420554/
Abstract

BACKGROUND

Perioperative stroke, defined as a stroke occurring within 30 days post-surgery, typically emerges within the first week. The incidence of perioperative stroke among adults undergoing non-cardiac and non-neurological surgeries ranges from 0.1% to 1% after a surgical intervention. Mortality rates following perioperative stroke surge, reaching up to eight times higher than controls, with approximately one in four cases resulting in death. Fortunately, various strategies are available to potentially prevent perioperative strokes. However, the vast amount of data poses challenges for physicians in memorization and recall for clinical use. This study aims to summarize essential perioperative stroke prevention strategies and determine an effective mnemonic for their memorization and recall.

METHOD

The initial search in PubMed focused solely on review articles published within the last 10 years. It utilized the keywords "perioperative stroke" and "prevention."

RESULTS

An initial search found 39 articles, with two suitable for review. Using data from selected review articles, further searches were conducted on Google Scholar and PubMed for articles from 2000 to 2024, identifying 30 additional suitable references. From these 32 articles, the author developed a mnemonic, "DAANISH," to aid in remembering strategies for preventing perioperative stroke.

CONCLUSION

Implementing this mnemonic may help reduce the risk of perioperative stroke and improve patient outcomes. Future research is needed to confirm its effectiveness.

摘要

背景

围手术期卒中定义为手术后30天内发生的卒中，通常在第一周内出现。接受非心脏和非神经外科手术的成年人围手术期卒中发生率在手术干预后为0.1%至1%。围手术期卒中后的死亡率飙升，比对照组高出多达八倍，约四分之一的病例导致死亡。幸运的是，有多种策略可用于潜在地预防围手术期卒中。然而，大量的数据给医生在记忆和临床应用中回忆这些信息带来了挑战。本研究旨在总结围手术期卒中预防的基本策略，并确定一种有效的记忆法来帮助记忆和回忆这些策略。

方法

在PubMed上的初步搜索仅聚焦于过去10年内发表的综述文章。使用了关键词“围手术期卒中”和“预防”。

结果

初步搜索找到39篇文章，其中两篇适合综述。利用所选综述文章的数据，在谷歌学术和PubMed上对2000年至2024年的文章进行了进一步搜索，又确定了30篇合适的参考文献。作者从这32篇文章中开发了一个记忆法“DAANISH”，以帮助记住预防围手术期卒中的策略。

结论

实施这个记忆法可能有助于降低围手术期卒中的风险并改善患者预后。需要未来的研究来证实其有效性。