Tyck till om SwePub Sök
här!
Sökning: WFRF:(Jeppsson A)
> Zindovic Igor >
Effects of Sex on E...
Effects of Sex on Early Outcome following Repair of Acute Type A Aortic Dissection : Results from the Nordic Consortium for Acute Type A Aortic Dissection (NORCAAD)
-
- Chemtob, Raphaelle A. (författare)
- Karolinska Institutet,Cleveland Clinic Foundation,Karolinska University Hospital
-
- Hjortdal, Vibeke (författare)
- Aarhus University Hospital
-
- Ahlsson, Anders (författare)
- Karolinska University Hospital
-
visa fler...
-
- Gunn, Jarmo (författare)
- University of Turku,Turku University Hospital
-
- Mennander, Ari (författare)
- Tampere University Hospital
-
- Zindovic, Igor (författare)
- Lund University,Lunds universitet,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Skåne University Hospital
-
- Olsson, Christian (författare)
- Karolinska Institutet,Karolinska University Hospital
-
- Pivodic, Aldina (författare)
- Statistiska Konsultgruppen
-
- Hansson, Emma C. (författare)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Sahlgrenska University Hospital,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
-
- Jeppsson, Anders, 1960 (författare)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Sahlgrenska University Hospital,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
-
- Geirsson, Arnar (författare)
- Yale University
-
- Gudbjartsson, Tomas (författare)
- National University Hospital of Iceland
-
visa färre...
-
(creator_code:org_t)
- 2019-07-22
- 2019
- Engelska 8 s.
-
Ingår i: AORTA. - : Georg Thieme Verlag KG. - 2325-4637. ; 7:1, s. 7-14
- Relaterad länk:
-
http://dx.doi.org/10... (free)
-
visa fler...
-
http://www.thieme-co...
-
https://lup.lub.lu.s...
-
https://doi.org/10.1...
-
http://kipublication...
-
https://gup.ub.gu.se...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background Female sex is known to have increased perioperative mortality in cardiac surgery. Studies reporting effects of sex on outcome following surgical repair for acute Type A aortic dissection (ATAAD) have been limited by small cohorts of heterogeneous patient populations and have shown diverging results. This study aimed to compare perioperative characteristics, operative management, and postoperative outcome between sexes in a large and well-defined cohort of patients operated for ATAAD. Methods The Nordic Consortium for Acute Type A Aortic Dissection study included patients with surgical repair of ATAAD at eight Nordic centers between January 2005 and December 2014. Independent predictors of 30-day mortality were identified using multivariable logistic regression. Results Females represented 373 (32%) out of 1,154 patients and were significantly older (65 ± 11 vs. 60 ± 12 years, p < 0.001), had lower body mass index (25.8 ± 5.4 vs. 27.2 ± 4.3 kg/m 2, p < 0.001), and had more often a history of hypertension (59% vs. 48%, p = 0.001) and chronic obstructive pulmonary disease (8% vs. 4%, p = 0.033) compared with males. More females presented with DeBakey class II as compared with males with dissection of the ascending aorta alone (33.4% vs. 23.1%, p = 0.003). Hypothermic cardiac arrest time (28 ± 16 vs. 31 ± 19 minutes, p = 0.026) and operation time (345 ± 133 vs. 374 ± 135 minutes, p < 0.001) were shorter among females. There was no difference between the sexes in unadjusted intraoperative death (9.1% vs. 6.7%, p = 0.17) or 30-day mortality (17.7% vs. 17.4%, p = 0.99). In a multivariable analysis including perioperative factors influencing mortality, no difference was found between females and males in 30-day mortality (odds ratio: 0.92, 95% confidence interval: 0.62-1.38, p = 0.69). Conclusions This study found no association between sex and early mortality following surgery for ATAAD, despite females being older and having more comorbidities, yet also presenting with a less widespread dissection than males.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Nyckelord
- aortic dissection
- aortic operation
- complications
- outcomes
- sex
- surgery
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
Hitta via bibliotek
-
AORTA
(Sök värdpublikationen i LIBRIS)
Till lärosätets databas
- Av författaren/redakt...
-
Chemtob, Raphael ...
-
Hjortdal, Vibeke
-
Ahlsson, Anders
-
Gunn, Jarmo
-
Mennander, Ari
-
Zindovic, Igor
-
visa fler...
-
Olsson, Christia ...
-
Pivodic, Aldina
-
Hansson, Emma C.
-
Jeppsson, Anders ...
-
Geirsson, Arnar
-
Gudbjartsson, To ...
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
-
och Kardiologi
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
- Artiklar i publikationen
-
AORTA
- Av lärosätet
-
Lunds universitet
-
Karolinska Institutet
-
Göteborgs universitet