Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
Abstract Background The purpose of this study is to identify the risk factors for postoperative severe hypoxemia after surgery for acute type A aortic dissection. Methods This was a single-center retrospective study including 112 consecutive patients undergoing urgent aortic arch surgery for acute t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-04-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13019-019-0888-9 |
| _version_ | 1818962495417614336 |
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| author | Ming Gong Zining Wu Shijun Xu Lei Li Xiaolong Wang Xinliang Guan Hongjia Zhang |
| author_facet | Ming Gong Zining Wu Shijun Xu Lei Li Xiaolong Wang Xinliang Guan Hongjia Zhang |
| author_sort | Ming Gong |
| collection | DOAJ |
| description | Abstract Background The purpose of this study is to identify the risk factors for postoperative severe hypoxemia after surgery for acute type A aortic dissection. Methods This was a single-center retrospective study including 112 consecutive patients undergoing urgent aortic arch surgery for acute type A aortic dissection between December 2016 and April 2017 at Beijing Anzhen Hospital. Results Multivariate logistic regression analysis identified female (OR, 12.978; 95% CI, 3.332 to 50.546; p < 0.001) and increased body mass index (OR, 1.473; 95% CI, 1.213 to 1.789; p < 0.001) as independent predictors of postoperative severe hypoxemia in patients with acute type A aortic dissection. Conclusions Obesity and female were independent risk factors for postoperative severe hypoxemia in patients with acute type A aortic dissection. More attention should be paid to preventing postoperative severe hypoxemia in obese women with acute type A aortic dissection. |
| first_indexed | 2024-12-20T12:30:14Z |
| format | Article |
| id | doaj.art-35629109368d43f8bf5eef8071704cb1 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-20T12:30:14Z |
| publishDate | 2019-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-35629109368d43f8bf5eef8071704cb12022-12-21T19:40:44ZengBMCJournal of Cardiothoracic Surgery1749-80902019-04-011411910.1186/s13019-019-0888-9Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissectionMing Gong0Zining Wu1Shijun Xu2Lei Li3Xiaolong Wang4Xinliang Guan5Hongjia Zhang6Department of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesDepartment of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesDepartment of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesDepartment of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesDepartment of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesDepartment of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesDepartment of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesAbstract Background The purpose of this study is to identify the risk factors for postoperative severe hypoxemia after surgery for acute type A aortic dissection. Methods This was a single-center retrospective study including 112 consecutive patients undergoing urgent aortic arch surgery for acute type A aortic dissection between December 2016 and April 2017 at Beijing Anzhen Hospital. Results Multivariate logistic regression analysis identified female (OR, 12.978; 95% CI, 3.332 to 50.546; p < 0.001) and increased body mass index (OR, 1.473; 95% CI, 1.213 to 1.789; p < 0.001) as independent predictors of postoperative severe hypoxemia in patients with acute type A aortic dissection. Conclusions Obesity and female were independent risk factors for postoperative severe hypoxemia in patients with acute type A aortic dissection. More attention should be paid to preventing postoperative severe hypoxemia in obese women with acute type A aortic dissection.http://link.springer.com/article/10.1186/s13019-019-0888-9Body mass indexCardiovascular diseaseGenderHypoxemiaRisk factors |
| spellingShingle | Ming Gong Zining Wu Shijun Xu Lei Li Xiaolong Wang Xinliang Guan Hongjia Zhang Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection Journal of Cardiothoracic Surgery Body mass index Cardiovascular disease Gender Hypoxemia Risk factors |
| title | Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection |
| title_full | Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection |
| title_fullStr | Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection |
| title_full_unstemmed | Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection |
| title_short | Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection |
| title_sort | increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection |
| topic | Body mass index Cardiovascular disease Gender Hypoxemia Risk factors |
| url | http://link.springer.com/article/10.1186/s13019-019-0888-9 |
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