1. Serum sodium on admission affects postoperative in-hospital mortality in acute aortic dissection patients.
- Author
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Pengfei Huang, Hongyan Wang, Dong Ma, Yongbo Zhao, Xiao Liu, Peng Su, Jinjin Zhang, Shuo Ma, Zhe Pan, Juexin Shi, Fangfang Hou, Nana Zhang, Xiaohui Zheng, Nan Liu, and Ling Zhang
- Subjects
Medicine ,Science - Abstract
BackgroundAcute aortic dissection (AAD) is very fatal without surgical treatment. Higher serum sodium can increase in-hospital mortality of many diseases; however, the effect of serum sodium on postoperative in-hospital mortality in AAD patients remains unknown.MethodsWe collected a total of 415 AAD patients from January 2015 to December 2019. Patients were classified into four categories (Q1-Q4) according to the admission serum sodium quartile. The cox proportional hazards model evaluated the association between serum sodium and in-hospital mortality. All-cause in-hospital mortality was set as the endpoint.ResultsBy adjusting many covariates, cox proportional hazards model revealed the in-hospital mortality risk of both Q3 and Q4 groups was 3.086 (1.242-7.671, P = 0.015) and 3.370 (1.384-8.204, P = 0.007) respectively, whereas the risk of Q2 group was not significantly increased. Univariate and multiple Cox analysis revealed that Stanford type A, serum glucose, α-hydroxybutyrate dehydrogenase and serum sodium were risk factors correlated with in-hospital death in AAD patients.ConclusionThe study indicates that the admission serum sodium of AAD patients has a vital impact on postoperative hospital mortality.
- Published
- 2021
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