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Surgical and long-t...
Surgical and long-term mortality in 2634 consecutive patients operated on the proximal thoracic aorta
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- Olsson, Christian (författare)
- Uppsala universitet,Thoraxkirurgi
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- Eriksson, Niclas (författare)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR)
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- Ståhle, Elisabeth (författare)
- Uppsala universitet,Thoraxkirurgi
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- Thelin, Stefan (författare)
- Uppsala universitet,Thoraxkirurgi
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(creator_code:org_t)
- Oxford University Press (OUP), 2007
- 2007
- Engelska.
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Ingår i: European Journal of Cardio-Thoracic Surgery. - : Oxford University Press (OUP). - 1010-7940 .- 1873-734X. ; 31:6, s. 963-969
- Relaterad länk:
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https://academic.oup...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objective: To assess surgical and long-term mortality in a large, contemporary, unselected cohort of patients undergoing operations on the proximal thoracic aorta. Methods: Patients in the Swedish Heart Surgery register operated 1992-2004 were identified and data cross-linked with the in-hospital and cause-of-death registers. Factors associated with surgical, intermediate, and long-term mortality were studied with separate Cox analyses. Long-term survival was estimated by Kaplan-Meier analysis. Results: 2634 patients (68% men, mean age 60 years) were operated for aortic aneurysm (n = 1821, 69%) or aortic dissection (n = 813, 31%). Overall, increased age, aortic dissection, emergency operation, coronary artery bypass grafting, postoperative stroke, and postoperative renal failure were independently associated with surgical mortality. Only age was independently associated with long-term mortality. Later era of treatment (1998-2004 vs 1992-1997) was associated with lower risk only for aneurysm patients, despite similar changes in surgical approach. Long-term survival for all patients was 83% at 1 year, 77% at 5 years, and 73% at 10 years and identical for aneurysm and dissection when adjusted for surgical mortality. Conclusions: Increased age was associated with increased mortality across follow-up, implicating early surgery when possible. Results improved over time for aneurysms but not dissections; however, long-term survival was equal.
Nyckelord
- Aneurysm
- Aortic
- Risk factors
- Surgery
- Survival
- MEDICINE
- MEDICIN
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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