Effects of seasonal and climate variations on in-hospital mortality and length of stay in patients with type A aortic dissection
Abstract Objective 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). Methods Patients undergoing implantation of the modified triple-branched stent graft to replace the de...
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| Format: | Article |
| Language: | English |
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BMC
2021-09-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-021-01639-z |
| _version_ | 1819131485653827584 |
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| author | Zeng-Rong Luo Zhi-Qin Lin Liang-wan Chen Han-Fan Qiu |
| author_facet | Zeng-Rong Luo Zhi-Qin Lin Liang-wan Chen Han-Fan Qiu |
| author_sort | Zeng-Rong Luo |
| collection | DOAJ |
| description | Abstract Objective 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). Methods 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. Results 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. Conclusion 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. |
| first_indexed | 2024-12-22T09:16:16Z |
| format | Article |
| id | doaj.art-2e73b58ef4684343afd9cb5fb40e2e8e |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-22T09:16:16Z |
| publishDate | 2021-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-2e73b58ef4684343afd9cb5fb40e2e8e2022-12-21T18:31:18ZengBMCJournal of Cardiothoracic Surgery1749-80902021-09-011611810.1186/s13019-021-01639-zEffects of seasonal and climate variations on in-hospital mortality and length of stay in patients with type A aortic dissectionZeng-Rong Luo0Zhi-Qin Lin1Liang-wan Chen2Han-Fan Qiu3Department of Cardiovascular Surgery and Cardiac Disease Center, Union Hospital, Fujian Medical UniversityDepartment of Cardiovascular Surgery and Cardiac Disease Center, Union Hospital, Fujian Medical UniversityDepartment of Cardiovascular Surgery and Cardiac Disease Center, Union Hospital, Fujian Medical UniversityDepartment of Cardiovascular Surgery and Cardiac Disease Center, Union Hospital, Fujian Medical UniversityAbstract Objective 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). Methods 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. Results 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. Conclusion 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.https://doi.org/10.1186/s13019-021-01639-zSeasonalClimaticType A acute aortic dissectionLength of stay |
| spellingShingle | Zeng-Rong Luo Zhi-Qin Lin Liang-wan Chen Han-Fan Qiu Effects of seasonal and climate variations on in-hospital mortality and length of stay in patients with type A aortic dissection Journal of Cardiothoracic Surgery Seasonal Climatic Type A acute aortic dissection Length of stay |
| title | Effects of seasonal and climate variations on in-hospital mortality and length of stay in patients with type A aortic dissection |
| title_full | Effects of seasonal and climate variations on in-hospital mortality and length of stay in patients with type A aortic dissection |
| title_fullStr | Effects of seasonal and climate variations on in-hospital mortality and length of stay in patients with type A aortic dissection |
| title_full_unstemmed | Effects of seasonal and climate variations on in-hospital mortality and length of stay in patients with type A aortic dissection |
| title_short | Effects of seasonal and climate variations on in-hospital mortality and length of stay in patients with type A aortic dissection |
| title_sort | effects of seasonal and climate variations on in hospital mortality and length of stay in patients with type a aortic dissection |
| topic | Seasonal Climatic Type A acute aortic dissection Length of stay |
| url | https://doi.org/10.1186/s13019-021-01639-z |
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