Sex-related differences in clinical characteristics and in-hospital outcomes of patients in acute type A aortic dissection

Autor: Fen Lin, Qiong Pan, Yaqin Chen, Yanchun Peng, Fei Jiang, Hong Ni, Lingyu Lin, Liangwan Chen, Yanjuan Lin
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Surgery, Vol 24, Iss 1, Pp 1-9 (2024)
Druh dokumentu: article
ISSN: 1471-2482
DOI: 10.1186/s12893-024-02608-8
Popis: Abstract Objective The aim of this study was to investigate sex-related differences in the clinical characteristics and hospital outcomes of patients undergoing surgery for acute type A aortic dissection (AAAD). Methods This study was a retrospective study. Patients who underwent surgery for AAAD at the Department of Cardiac Surgery, Fujian Medical University Union Hospital, from January 2014 to March 2023 were consecutively included. Data was extracted from electronic medical records. The primary outcome measure was in-hospital mortality, and secondary outcome measures included new-onset postoperative arrhythmia (POA), acute kidney injury (AKI), hepatic dysfunction, neurological complications, gastrointestinal hemorrhage, ICU length of stay, and hospital length of stay. Patients were divided into two groups based on sex, and data analysis was performed using SPSS 25.0 software. Results A total of 1137 subjects were included, with 863 males (75.9%) and 274 females (24.1%). There were statistically significant differences in age and BMI between the two groups (P 0.05). The rate of POA in females was 4.7%, higher than in males (2.2%), but AKI and gastrointestinal hemorrhage were both higher in males than in females (P
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