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Journal of Cardiothoracic Surgery

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Open Access 01-12-2021 | Acute Kidney Injury | Research article

Risk factors for 30-day mortality in patients who received DeBakey type I aortic dissection repair surgery

Authors: Zhigang Wang, Tao Chen, Pingping Ge, Min Ge, Lichong Lu, Lifang Zhang, Dongjin Wang

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Objective

This study aimed to identify risk factors for 30-day mortality in patients who received DeBakey type I aortic dissection (AD) repair surgery.

Methods

A total of 830 consecutive patients who received acute DeBakey type I AD surgery between 2014 and 2019 were included in the study. The associations between 30-day mortality and perioperative parameters were examined in order to identify risk factors.

Results

Our data suggested that the overall 30-day mortality rate of all enrolled patients was 11.7%. Unsurprisingly, non-survivors were older and more frequently accompanied with histories of cardiovascular diseases. For intraoperative parameters, the prevalence of coronary artery bypass grafting and cardiopulmonary bypass times were increased in non-survivors. In addition, acute kidney injury (AKI), dialysis, stroke, and deep sternal wound infection were more commonly seen among non-survivors. The multivariate logistic regression analysis suggested that cardiovascular disease history, preoperative D-dimer level, drainage volume 24 h after surgery, and postoperative AKI were independent risk factors for 30-day mortality after DeBakey type I aortic dissection repair surgery.

Conclusions

Our study demonstrated that cardiovascular disease history, preoperative D-dimer level, drainage volume 24 h after surgery as well as postoperative AKI were risk factors for 30-day mortality after DeBakey type I aortic dissection repair surgery.

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Title: Risk factors for 30-day mortality in patients who received DeBakey type I aortic dissection repair surgery
Authors: Zhigang Wang
Tao Chen
Pingping Ge
Min Ge
Lichong Lu
Lifang Zhang
Dongjin Wang
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Acute Kidney Injury
CABG
Acute Kidney Injury
CABG
Aortic Dissection
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01702-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors for 30-day mortality in patients who received DeBakey type I aortic dissection repair surgery

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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