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最大大动脉直径对中国人口急性B型大动脉剖析进展的预后影响

Xianming Tang^1,2, Shuangfa Qiu^1,2, Xin Sun³

¹Department of Emergency Medicine, The Second Xiangya Hospital, Central South University, Changsha, China.

Scientific reports

|October 27, 2024

概括

在急性B型大动脉剖析 (ATBAD) 中最大的大动脉直径显示了J曲线与住院死亡率的联系. 超过31毫米的直径与死亡风险增加相关,突出其预后重要性.

科学领域:

心血管医学心血管医学
血管外科血管外科
医学诊断医学诊断医学诊断

背景情况:

关于最大大动脉直径与急性B型大动脉剖析 (ATBAD) 中住院死亡率之间的关联的证据有限.
了解这种关系对于评估ATBAD患者的早期预后至关重要.

研究的目的:

研究诊断为ATBAD的患者入院时最大大动脉直径和住院死亡率之间的相关性.
在ATBAD中确定早期结果的潜在预后指标.

主要方法:

在2016年1月至2018年12月期间入院的678名ATBAD患者的回顾性分析.
大动脉最大直径是主要的独立变量;住院死亡率是依赖变量.
统计分析考虑了各种临床因素,包括年龄,BMI,并发症,血压和治疗策略.

主要成果:

最大大动脉直径与住院死亡率正相关 (OR=1.06,95% CI 1.03-1.10).
在最大大动脉直径和住院死亡之间观察到J曲线关系,转折点为31毫米.
最大大动脉直径超过31毫米与住院死亡率有正相关性 (OR=1.06,95% CI 1.02-1.11).

结论:

在ATBAD患者的最大大动脉直径和住院死亡率之间存在显著的J曲线关系.
大动脉最大直径超过31毫米是ATBAD中增加住院死亡率的预测因素.
最大大动脉直径作为一种有价值的预后标记,用于急性B型大动脉剖析的早期结果.

关键词:

急性B型大动脉切割住院死亡率住院死亡率大动脉最大直径

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