Sex-related differences in clinical features and in-hospital outcomes of acute aortic dissection type b

Autor:	T Kunihara, Masao Yamasaki, Morimasa Takayama, Takeshi Yamamoto, K Hagiya, Ken Nagao, M Kawata, H Masuhara, K Watanabe, T Takahashi, T Shimokawa, M Usui, Hideaki Yoshino, K Akutsu, Hitoshi Ogino
Rok vydání:	2020
Předmět:	medicine.medical_specialty Hospital outcomes business.industry Internal medicine Aortic dissection type b medicine Sex related Cardiology and Cardiovascular Medicine business
Zdroj:	European Heart Journal. 41
ISSN:	1522-9645 0195-668X
DOI:	10.1093/ehjci/ehaa946.2340
Popis:	Background Acute aortic dissection (AAD) is a life-threatening medical condition with high morbidity and mortality. The association between female sex and poorer outcomes following surgery for AAD type A has been reported; however, the sex-related differences in clinical features and in-hospital outcomes of AAD type B remain to be elucidated. Methods We studied a total of 1877 patients with AAD type B who were enrolled in the Tokyo Acute Aortic Super-network from January 2013 to December 2016. Clinical features and in-hospital outcomes were compared between sexes. Independent predictors of in-hospital mortality were assessed using a multivariable analysis. Results The mean age of the patients was 69±13 years and 549 (29%) were females. Female patients were older than males (74±13 years vs 67±13 years; p Conclusion In AAD type B, females were older and had altered consciousness level, IMH-type, and a less widespread dissection more frequently than males. The overall in-hospital mortality was higher in females; however, female sex was not associated with in-hospital mortality after multivariable adjustment. Funding Acknowledgement Type of funding source: None
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::6b08d2472a8e5261e2c4b1dafdf38d40 https://doi.org/10.1093/ehjci/ehaa946.2340 Zobrazit plný text záznamu