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  1 / 3209 MEDLINE  
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[PMID]:29365281
[Au] Autor:Campion EW; Scott LA; Muenning JE; Stern KL; Gartside MA; Frazier KM; Burns NS; Lawlor AJ; Prince JM; Stuart RJ; Morrissey S; Drazen JM
[Ti] Título:Moving Ahead with a New NEJM.org.
[So] Source:N Engl J Med;378(6):574, 2018 02 08.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Internet
Publicações Periódicas como Assunto
[Mh] Termos MeSH secundário: New England
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMe1800731


  2 / 3209 MEDLINE  
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[PMID]:29261672
[Au] Autor:Wyatt KH; Griffin R; Guerry AD; Ruckelshaus M; Fogarty M; Arkema KK
[Ad] Endereço:Natural Capital Project, Stanford University c/o School of Environmental and Forest Sciences, University of Washington, Seattle, Washington, United States of America.
[Ti] Título:Habitat risk assessment for regional ocean planning in the U.S. Northeast and Mid-Atlantic.
[So] Source:PLoS One;12(12):e0188776, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Coastal habitats provide important benefits to people, including habitat for species targeted by fisheries and opportunities for tourism and recreation. Yet, such human activities also can imperil these habitats and undermine the ecosystem services they provide to people. Cumulative risk assessment provides an analytical framework for synthesizing the influence of multiple stressors across habitats and decision-support for balancing human uses and ecosystem health. To explore cumulative risk to habitats in the U.S. Northeast and Mid-Atlantic Ocean Planning regions, we apply the open-source InVEST Habitat Risk Assessment model to 13 habitats and 31 stressors in an exposure-consequence framework. In doing so, we advance the science priorities of EBM and both regional planning bodies by synthesizing the wealth of available data to improve our understanding of human uses and how they affect marine resources. We find that risk to ecosystems is greatest first, along the coast, where a large number of stressors occur in close proximity and secondly, along the continental shelf, where fewer, higher consequence activities occur. Habitats at greatest risk include soft and hard-bottom nearshore areas, tidal flats, soft-bottom shelf habitat, and rocky intertidal zones-with the degree of risk varying spatially. Across all habitats, our results indicate that rising sea surface temperatures, commercial fishing, and shipping consistently and disproportionally contribute to risk. Further, our findings suggest that management in the nearshore will require simultaneously addressing the temporal and spatial overlap as well as intensity of multiple human activities and that management in the offshore requires more targeted efforts to reduce exposure from specific threats. We offer a transparent, generalizable approach to evaluating cumulative risk to multiple habitats and illustrate the spatially heterogeneous nature of impacts along the eastern Atlantic coast and the importance of spatial scale in estimating such impacts. These results offer a valuable decision-support tool by helping to constrain the decision space, focus attention on habitats and locations at the greatest risk, and highlight effect management strategies.
[Mh] Termos MeSH primário: Conservação dos Recursos Naturais/métodos
Ecossistema
Oceanos e Mares
Medição de Risco
[Mh] Termos MeSH secundário: Atividades Humanas
Seres Humanos
Mid-Atlantic Region
New England
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188776


  3 / 3209 MEDLINE  
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[PMID]:29240810
[Au] Autor:Thompson JR; Plisinski JS; Olofsson P; Holden CE; Duveneck MJ
[Ad] Endereço:Harvard Forest, Harvard University, Petersham, MA, United States of America.
[Ti] Título:Forest loss in New England: A projection of recent trends.
[So] Source:PLoS One;12(12):e0189636, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:New England has lost more than 350,000 ha of forest cover since 1985, marking a reversal of a two-hundred-year trend of forest expansion. We a cellular land-cover change model to project a continuation of recent trends (1990-2010) in forest loss across six New England states from 2010 to 2060. Recent trends were estimated using a continuous change detection algorithm applied to twenty years of Landsat images. We addressed three questions: (1) What would be the consequences of a continuation of the recent trends in terms of changes to New England's forest cover mosaic? (2) What social and biophysical attributes are most strongly associated with recent trends in forest loss, and how do these vary geographically? (3) How sensitive are projections of forest loss to the reference period-i.e. how do projections based on the period spanning 1990-to-2000 differ from 2000-to-2010, or from the full period, 1990-to-2010? Over the full reference period, 8201 ha yr-1 and 468 ha yr-1 of forest were lost to low- and high-density development, respectively. Forest loss was concentrated in suburban areas, particularly near Boston. Of the variables considered, 'distance to developed land' was the strongest predictor of forest loss. The next most important predictor varied geographically: 'distance to roads' ranked second in the more developed regions in the south and 'population density' ranked second in the less developed north. The importance and geographical variation in predictor variables were relatively stable between reference periods. In contrast, there was 55% more forest loss during the 1990-to-2000 reference period compared to the 2000-to-2010 period, highlighting the importance of understanding the variation in reference periods when projecting land cover change. The projection of recent trends is an important baseline scenario with implications for the management of forest ecosystems and the services they provide.
[Mh] Termos MeSH primário: Conservação dos Recursos Naturais/métodos
Ecossistema
Monitoramento Ambiental/métodos
Florestas
[Mh] Termos MeSH secundário: Conservação dos Recursos Naturais/tendências
História do Século XX
História do Século XXI
New England
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171229
[Lr] Data última revisão:
171229
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189636


  4 / 3209 MEDLINE  
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[PMID]:29216236
[Au] Autor:Wang Y; Wang Q; Taylor JE
[Ad] Endereço:Charles E. Via, Jr. Department of Civil and Environmental Engineering, Virginia Tech, Blacksburg, VA, United States of America.
[Ti] Título:Aggregated responses of human mobility to severe winter storms: An empirical study.
[So] Source:PLoS One;12(12):e0188734, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Increasing frequency of extreme winter storms has resulted in costly damages and a disruptive impact on the northeastern United States. It is important to understand human mobility patterns during such storms for disaster preparation and relief operations. We investigated the effects of severe winter storms on human mobility during a 2015 blizzard using 2.69 million Twitter geolocations. We found that displacements of different trip distances and radii of gyration of individuals' mobility were perturbed significantly. We further explored the characteristics of perturbed mobility during the storm, and demonstrated that individuals' recurrent mobility does not have a higher degree of similarity with their perturbed mobility, when comparing with its similarity to non-perturbed mobility. These empirical findings on human mobility impacted by severe winter storms have potential long-term implications on emergency response planning and the development of strategies to improve resilience in severe winter storms.
[Mh] Termos MeSH primário: Temperatura Baixa
Movimento
Estações do Ano
[Mh] Termos MeSH secundário: Pesquisa Empírica
Seres Humanos
New England
Mídias Sociais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171229
[Lr] Data última revisão:
171229
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188734


  5 / 3209 MEDLINE  
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[PMID]:28982152
[Au] Autor:Young BE; Auer S; Ormes M; Rapacciuolo G; Schweitzer D; Sears N
[Ad] Endereço:NatureServe, Arlington, Virginia, United States of America.
[Ti] Título:Are pollinating hawk moths declining in the Northeastern United States? An analysis of collection records.
[So] Source:PLoS One;12(10):e0185683, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Increasing attention to pollinators and their role in providing ecosystem services has revealed a paucity of studies on long-term population trends of most insect pollinators in many parts of the world. Because targeted monitoring programs are resource intensive and unlikely to be performed on most insect pollinators, we took advantage of existing collection records to examine long-term trends in northeastern United States populations of 26 species of hawk moths (family Sphingidae) that are presumed to be pollinators. We compiled over 6,600 records from nine museum and 14 private collections that spanned a 112-year period, and used logistic generalized linear mixed models (GLMMs) to examine long-term population trends. We controlled for uneven sampling effort by adding a covariate for list length, the number of species recorded during each sampling event. We found that of the 22 species for which there was sufficient data to assess population trends, eight species declined and four species increased in detection probability (the probability of a species being recorded during each year while accounting for effort, climate, and spatial effects in the GLMMs). Of the four species with too few records to statistically assess, two have disappeared from parts of their ranges. None of the four species with diurnal adults showed a trend in detection probability. Two species that are pests of solanaceous crops declined, consistent with a seven-fold drop in the area planted in tobacco and tomato crops. We found some evidence linking susceptibility to parasitoidism by the introduced fly Compsilura concinnata (Tachinidae) to declines. Moths with larvae that feed on vines and trees, where available evidence indicates that the fly is most likely to attack, had a greater propensity to decline than species that use herbs and shrubs as larval host plants. Species that develop in the spring, before Compsilura populations have increased, did not decline. However, restricting the analysis to hawk moth records from areas outside of a "refuge" area where Compsilura does not occur did not significantly increase the intensity of the declines as would be predicted if Compsilura was the primary cause of declines. Forests have recovered over the study period across most of the northeastern U.S., but this does not appear to have been a major factor because host plants of several of the declining species have increased in abundance with forest expansion and maturation. Climate variables used in the GLMMs were not consistently related to moth detection probability. Hawk moth declines may have ecological effects on both the plants pollinated by these species and vertebrate predators of the moths.
[Mh] Termos MeSH primário: Mariposas/fisiologia
Polinização
[Mh] Termos MeSH secundário: Animais
Clima
Documentação
New England
Densidade Demográfica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171006
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185683


  6 / 3209 MEDLINE  
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[PMID]:28859097
[Au] Autor:Crotty SM; Angelini C; Bertness MD
[Ad] Endereço:Department of Environmental Engineering Sciences, Engineering School of Sustainable Infrastructure and Environment, University of Florida, Gainesville, FL, United States of America.
[Ti] Título:Multiple stressors and the potential for synergistic loss of New England salt marshes.
[So] Source:PLoS One;12(8):e0183058, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Climate change and other anthropogenic stressors are converging on coastal ecosystems worldwide. Understanding how these stressors interact to affect ecosystem structure and function has immediate implications for coastal planning, however few studies quantify stressor interactions. We examined past and potential future interactions between two leading stressors on New England salt marshes: sea-level rise and marsh crab (Sesarma reticulatum) grazing driven low marsh die-off. Geospatial analyses reveal that crab-driven die-off has led to an order of magnitude more marsh loss than sea-level rise between 2005 and 2013. However, field transplant experimental results suggest that sea-level rise will facilitate crab expansion into higher elevation marsh platforms by inundating and gradually softening now-tough high marsh peat, exposing large areas to crab-driven die-off. Taking interactive effects of marsh softening and concomitant overgrazing into account, we estimate that even modest levels of sea-level rise will lead to levels of salt marsh habitat loss that are 3x greater than the additive effects of sea-level rise and crab-driven die-off would predict. These findings highlight the importance of multiple stressor studies in enhancing mechanistic understanding of ecosystem vulnerabilities to future stress scenarios and encourage managers to focus on ameliorating local stressors to break detrimental synergisms, reduce future ecosystem loss, and enhance ecosystem resilience to global change.
[Mh] Termos MeSH primário: Braquiúros/fisiologia
Ecossistema
Estresse Fisiológico
Zonas Úmidas
[Mh] Termos MeSH secundário: Animais
Mudança Climática
New England
Poaceae
Cloreto de Sódio/química
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
451W47IQ8X (Sodium Chloride)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183058


  7 / 3209 MEDLINE  
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[PMID]:28858145
[Au] Autor:Stevens R; Gilliard-Matthews S; Dunaev J; Todhunter-Reid A; Brawner B; Stewart J
[Ad] Endereço:Robin Stevens, PhD, MPH, is Assistant Professor, School of Nursing, University of Pennsylvania, Philadelphia. Stacia Gilliard-Matthews, PhD, is Assistant Professor, Department of Sociology, Anthropology, and Criminal Justice, Rutgers University, Camden, New Jersey. Jamie Dunaev, PhD, is Assistant Professor, Health Sciences Program, Rutgers University, Camden, New Jersey. Abigail Todhunter-Reid, is Doctoral Candidate, Department of Childhood Studies, Rutgers University, Camden, New Jersey. Bridgette Brawner, PhD, APRN, is Assistant Professor, School of Nursing, University of Pennsylvania, Philadelphia. Jennifer Stewart, PhD, RN, is Assistant Professor, School of Nursing, Department of Community Public Health, Johns Hopkins University, Baltimore, Maryland.
[Ti] Título:Social Media Use and Sexual Risk Reduction Behavior Among Minority Youth: Seeking Safe Sex Information.
[So] Source:Nurs Res;66(5):368-377, 2017 Sep/Oct.
[Is] ISSN:1538-9847
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sexual health is an important area of study-particularly for minority youth and youth living in disadvantaged neighborhoods. OBJECTIVES: The purpose of the research was to examine the sources of sexual health information associated with youth adopting sexual risk reduction behaviors. METHODS: Data collection took place in a small city in the Northeastern United States using cross-sectional behavioral surveys and modified venue-based sampling. Participants included 249 African American and Latino youth aged 13-24. Participants reported their sources of information about contraception and human immunodeficiency virus/sexually transmitted disease, such as TV/movies, parents, social media; their intentions to have sex; and condom and contraception use during their last sexual activity. Social media use, past pregnancy experience, past sexual history, age, and gender were also measured. Standard tests of bivariate association (chi-square and F tests) were used to examine initial associations between sexual risk reduction behavior and exposure to sexual risk reduction information on social media. Logistic regression models were used to test multivariate relationships between information sources and sexual risk reduction behavior. RESULTS: Youth who were exposed to sexual health messages on social media were 2.69 times (p < .05) and 2.49 times (p < .08) more likely to have used contraception or a condom at last intercourse, respectively. Parents, schools, or traditional media as information sources were not significantly associated with contractive use or condom use at last intercourse. DISCUSSION: Youth sexual behavior is increasingly informed by social media messages. Health practitioners should utilize social media as an important health promotion tool.
[Mh] Termos MeSH primário: Comportamento do Adolescente
Afroamericanos/educação
Afroamericanos/estatística & dados numéricos
Hispano-Americanos/educação
Hispano-Americanos/estatística & dados numéricos
Grupos Minoritários/educação
Mídias Sociais
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estudos Transversais
Feminino
Promoção da Saúde/métodos
Seres Humanos
Masculino
New England
Fatores de Risco
Comportamento de Redução do Risco
Sexo Seguro/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1097/NNR.0000000000000237


  8 / 3209 MEDLINE  
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[PMID]:28850649
[Au] Autor:Griggs S; Crawford SL
[Ti] Título:Hope, Core Self-Evaluations, Emotional Well-Being, Health-Risk Behaviors, and Academic Performance in University Freshmen.
[So] Source:J Psychosoc Nurs Ment Health Serv;55(9):33-42, 2017 Sep 01.
[Is] ISSN:0279-3695
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of the current online cross-sectional study was to examine the relationship between hope, core self-evaluations (CSE), emotional well-being, health-risk behaviors, and academic performance in students enrolled in their first year of college. Freshmen (N = 495) attending a large public university in the Northeastern United States completed an online survey between February 1 and 13, 2017. Linear regression, path analysis, and structural equation modeling procedures were performed. CSE mediated the relationship between hope and emotional well-being and academic performance. Contrary to the hypotheses, higher hope predicted more sexual risk-taking behaviors and alcohol use. CSE is an important component of Hope Theory, which is useful for predicting emotional well-being and academic performance, but not as useful for predicting drug use, alcohol use, and sexual risk taking. Hope and CSE interventions are needed to improve academic performance and emotional well-being in university freshmen. [Journal of Psychosocial Nursing and Mental Health Services, 55(9), 33-42.].
[Mh] Termos MeSH primário: Autoavaliação Diagnóstica
Esperança
Saúde Mental
Assunção de Riscos
Universidades
[Mh] Termos MeSH secundário: Adolescente
Consumo de Bebidas Alcoólicas/psicologia
Estudos Transversais
Escolaridade
Feminino
Seres Humanos
Internet
Masculino
New England
Comportamento Sexual/psicologia
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170830
[St] Status:MEDLINE
[do] DOI:10.3928/02793695-20170818-11


  9 / 3209 MEDLINE  
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[PMID]:28800822
[Au] Autor:Weller DL; Kovac J; Kent DJ; Roof S; Tokman JI; Mudrak E; Kowalcyk B; Oryang D; Aceituno A; Wiedmann M
[Ad] Endereço:Department of Food Science, Stocking Hall, Cornell University, Ithaca, NY 14853, USA.
[Ti] Título:Escherichia coli transfer from simulated wildlife feces to lettuce during foliar irrigation: A field study in the Northeastern United States.
[So] Source:Food Microbiol;68:24-33, 2017 Dec.
[Is] ISSN:1095-9998
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Wildlife intrusion has been associated with pathogen contamination of produce. However, few studies have examined pathogen transfer from wildlife feces to pre-harvest produce. This study was performed to calculate transfer coefficients for Escherichia coli from simulated wildlife feces to field-grown lettuce during irrigation. Rabbit feces inoculated with a 3-strain cocktail of non-pathogenic E. coli were placed in a lettuce field 2.5-72 h before irrigation. Following irrigation, the E. coli concentration on the lettuce was determined. After exclusion of an outlier with high E. coli levels (Most Probable Number = 5.94*10 ), the average percent of E. coli in the feces that transferred to intact lettuce heads was 0.0267% (Standard Error [SE] = 0.0172). Log-linear regression showed that significantly more E. coli transferred to outer leaves compared to inner leaves (Effect = 1.3; 95% Confidence Interval = 0.4, 2.1). Additionally, the percent of E. coli that transferred from the feces to the lettuce decreased significantly with time after fecal placement, and as the distance between the lettuce and the feces, and the lettuce and the sprinklers increased. These findings provide key data that may be used in future quantitative risk assessments to identify potential intervention strategies for reducing food safety risks associated with fresh produce.
[Mh] Termos MeSH primário: Animais Selvagens/microbiologia
Escherichia coli/isolamento & purificação
Fezes/microbiologia
Contaminação de Alimentos/análise
Alface/microbiologia
[Mh] Termos MeSH secundário: Irrigação Agrícola
Animais
Escherichia coli/classificação
Escherichia coli/genética
Inocuidade dos Alimentos
New England
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170813
[St] Status:MEDLINE


  10 / 3209 MEDLINE  
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[PMID]:28697940
[Au] Autor:Clouse WD; Ergul EA; Patel VI; Lancaster RT; LaMuraglia GM; Cambria RP; Conrad MF
[Ad] Endereço:Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass. Electronic address: wclouse@partners.org.
[Ti] Título:Characterization of perioperative contralateral stroke after carotid endarterectomy.
[So] Source:J Vasc Surg;66(5):1450-1456, 2017 Nov.
[Is] ISSN:1097-6809
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Contralateral stroke is an infrequent cause of perioperative stroke after carotid endarterectomy (CEA). Whereas the risks of ipsilateral stroke complicating CEA have been discriminated, factors that lead to contralateral stroke are poorly defined. The purpose of this study was to identify the risk of perioperative (30-day) contralateral stroke after CEA as well as predisposing preoperative and operative factors. Its specific effect on long-term survival was interrogated. METHODS: The Vascular Study Group of New England (VSGNE) was queried from April 1, 2003, to February 29, 2016, for all CEAs. Duplicated patients and those without complete data were excluded. Patients sustaining contralateral stroke after CEA in the 30-day postoperative period were identified. Demographic, preoperative, and operative factors were analyzed to identify discriminators between those with and those without contralateral stroke. Logistic regression modeling was performed to identify factors independently associated with contralateral stroke. The effect of contralateral stroke on 5-year survival was compared with patients with ipsilateral stroke and no stroke using the Kaplan-Meier method. Log-rank testing compared survival curves. RESULTS: There were 10,837 CEAs performed during the study. Average age was 70.4 ± 9.3 years; 6605 (61%) patients were male, and 40% (n = 4324) were performed for symptoms. Most were current or former smokers (n = 8619 [80%]). Coronary artery disease and congestive heart failure were identified in 31% and 8.6%, respectively. Overall, there were 190 strokes within 30 days of CEA (1.8%); 131 were ipsilateral (1.3%), and 59 (0.5%) patients were identified as having contralateral perioperative stroke. Thirteen patients sustained bilateral stroke (0.1%). Significant univariate associations included urgency (P = .0001), ipsilateral stenosis severity (P = .004), length of operation (P = .0001), CEA with coronary artery bypass graft (P = .0001), CEA with other arterial surgery (P = .01), and CEA with proximal endovascular procedure (P = .03). Contralateral occlusion (P = .06) and degree of contralateral carotid stenosis (P = .14) did not correlate. After logistic regression analysis of significant univariate anatomic and operative factors, length of procedure (odds ratio [OR], 1.08/15 minutes; 95% confidence interval [CI], 1.01-1.15; P = .02), urgency of operation (OR, 2.5; 95% CI, 1.3-4.6; P = .006), and concomitant proximal endovascular intervention (OR, 8.7; 95% CI, 4.5-31.2; P = .001) remained predictors of contralateral stroke after CEA. Occurrence of both ipsilateral (P < .001) and contralateral (P = .023) stroke significantly reduced 5-year survival compared with those without stroke. There was no difference in the negative survival effect based on laterality of stroke (P = .24). CONCLUSIONS: Contralateral stroke after CEA is rare, affecting 0.5% of patients. Traditional risk reduction medical therapy does not affect occurrence. Degree of contralateral stenosis, including contralateral occlusion, does not predict perioperative contralateral stroke. Urgency of operation, length of operation, and performance of concomitant, ipsilateral endovascular intervention predict contralateral stroke risk with CEA. Contralateral stroke affects long-term survival similar to ipsilateral stroke after CEA.
[Mh] Termos MeSH primário: Estenose das Carótidas/cirurgia
Endarterectomia das Carótidas/efeitos adversos
Acidente Vascular Cerebral/etiologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Estenose das Carótidas/complicações
Estenose das Carótidas/diagnóstico por imagem
Estenose das Carótidas/mortalidade
Distribuição de Qui-Quadrado
Endarterectomia das Carótidas/mortalidade
Feminino
Seres Humanos
Estimativa de Kaplan-Meier
Modelos Logísticos
Masculino
Meia-Idade
Análise Multivariada
New England
Razão de Chances
Duração da Cirurgia
Estudos Retrospectivos
Medição de Risco
Fatores de Risco
Acidente Vascular Cerebral/diagnóstico
Acidente Vascular Cerebral/mortalidade
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170713
[St] Status:MEDLINE



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde