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Effects of seasonal and climate variations on in-hospital mortality and length of stay in patients with type A aortic dissection.

Effects of seasonal and climate variations on in-hospital mortality and length of stay in patients with type A aortic dissection.

Authors :
Luo, Zeng-Rong
Lin, Zhi-Qin
Chen, Liang-wan
Qiu, Han-Fan
Source :
Journal of Cardiothoracic Surgery. 9/8/2021, Vol. 16 Issue 1, p1-8. 8p.
Publication Year :
2021

Abstract

<bold>Objective: </bold>To investigate the effects of seasonal and climatic changes on postoperative in-hospital mortality and length of stay (LOS) in patients with type A acute aortic dissection (AAD).<bold>Methods: </bold>Patients undergoing implantation of the modified triple-branched stent graft to replace the descending aorta in addition to aortic root reconstruction for type A AAD in our hospital from January 2016 to December 2019 were included. Relevant data were retrospectively collected and analyzed.<bold>Results: </bold>A total of 404 patients were included in our analyses. The multivariate unconditional logistic regression analysis showed that patients admitted in autumn (OR 4.027, 95% CI 1.023-17.301, P = 0.039) or with coronary heart disease (OR 8.938, 95% CI 1.991-29.560, P = 0.049) were independently associated with an increased risk of postoperative in-hospital mortality. Furthermore, patients admitted in autumn (OR 5.956, 95% CI 2.719-7.921, P = 0.041) or with hypertension (OR 3.486, 95% CI 1.192-5.106, P = 0.035) were independently associated with an increased risk of longer LOS.<bold>Conclusion: </bold>Patients admitted in autumn or with coronary heart disease are at higher risk of in-hospital mortality following surgery for type A AAD. Also, patients admitted in autumn or with hypertension have a longer hospital LOS. In the autumn of the temperature transition, we may need to strengthen the management of medical quality after surgery for type A AAD. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
17498090
Volume :
16
Issue :
1
Database :
Academic Search Index
Journal :
Journal of Cardiothoracic Surgery
Publication Type :
Academic Journal
Accession number :
152350674
Full Text :
https://doi.org/10.1186/s13019-021-01639-z