Risk analysis for hospital mortality after operations for type A aortic dissection / 中华外科杂志
Chinese Journal of Surgery
;
(12): 422-425, 2012.
Artigo
em Chinês
| WPRIM
| ID: wpr-245855
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the risk factors for hospital mortality after operations for type A aortic dissection.</p><p><b>METHODS</b>Totally 766 consecutive patients (586 male and 180 female patient, aged (45±12) years, ranging from 16 to 78 years), who underwent surgery for type A aortic dissection from January 2001 to December 2010, were studied retrospectively. Preoperative and operation related clinic factors were analyzed by univariate analysis, followed by Logistic regression model, to identify the risk factors of hospital mortality.</p><p><b>RESULTS</b>Overall, 37 patients (4.8%) died during hospitalization. On univariate analysis, significant risk factors for hospital mortality were male, acute status, renal dysfunction, cardiac dysfunction, cardiopulmonary bypass time, duration of operation, volume of blood transfusion, re-operation for bleeding (χ2=4.008-27.093, P<0.05). On Logistic regression model, independent risk factors were acute status (OR=2.784, 95%CI 1.166-6.649, P=0.021), renal dysfunction (OR=6.285, 95%CI 1.738 - 22.723, P=0.005), cardiac dysfunction (OR=3.052, 95%CI 1.083-8.606, P=0.035), re-operation for bleeding (OR=3.690, 95%CI 1.262-10.791, P=0.017), volume of blood transfusion (OR=1.033, 95%CI 1.008-1.058, P=0.010). Additionally, male (OR=0.387, 95%CI 0.177-0.848, P=0.018) was protective factor, and alternatively, female was indeed one of the independent risk factors for hospital mortality.</p><p><b>CONCLUSION</b>Female, acute status, renal dysfunction, cardiac dysfunction, re-operation for bleeding, volume of blood transfusion were independent risk factors for hospital mortality after operations for type A aortic dissection.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Modelos Logísticos
/
Estudos Retrospectivos
/
Seguimentos
/
Mortalidade
/
Mortalidade Hospitalar
/
Aneurisma da Aorta Torácica
/
Medição de Risco
/
Dissecção Aórtica
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adolescente
/
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2012
Tipo de documento:
Artigo
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