The Relationship of Blood Groups and in-Hospital Mortality of Patients with Thoracic Aortic Dissection

Background: Acute aortic dissection is one of the catastrophic cardiovascular events with high in-hospital mortality. We aimed to assess the distribution of ABO blood groups in patients with acute aortic dissection, and to identify any association between their blood groups and in-hospital mortality...

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Main Authors: Ahmad Separham, Reza Hajizadeh, Abdolmohammad Ranjbar, Arvin Zabeh, Masoumeh Jahanafrouz
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2019-12-01
Series:مجله دانشکده پزشکی اصفهان
Subjects:
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/11882
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author Ahmad Separham
Reza Hajizadeh
Abdolmohammad Ranjbar
Arvin Zabeh
Masoumeh Jahanafrouz
author_facet Ahmad Separham
Reza Hajizadeh
Abdolmohammad Ranjbar
Arvin Zabeh
Masoumeh Jahanafrouz
author_sort Ahmad Separham
collection DOAJ
description Background: Acute aortic dissection is one of the catastrophic cardiovascular events with high in-hospital mortality. We aimed to assess the distribution of ABO blood groups in patients with acute aortic dissection, and to identify any association between their blood groups and in-hospital mortality. Methods: In cross-sectional study, 147 patients with confirmed acute aortic dissection by computed tomography angiography were included. According to the type of their blood groups, patients were divided into non-O (including A, B, and AB blood groups) and O blood groups. According to the tearing location, patient were divided into proximal (ascending aorta) and distal (descending aorta) dissection groups. The data were statistically analyzed using chi-square, Fisher's exact, and independent t tests. Findings: The mean age of patients was 58.77 ± 16.04 and 59.3 ± 15.32 years in non-O and O blood groups, respectively. From 147 patients with thoracic aortic dissection, 93 patients had non-O and 54 patients had O blood groups. A and O blood groups were seen more frequently among the patients. 54 patients (36.7%) died during their hospital course. Blood groups of AB [odds ratio (OR) = 3.52] and A (OR = 1.67) had stronger correlation with in-hospital mortality. Patients with blood group O had better in-hospital survival (OR = 0.40). Conclusion: It seems that patients with aortic dissection and O blood group have a better in-hospital survival than patients with non-O blood groups.
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spelling doaj.art-7d5a2ab7021b4b34bc0a9a2b327442ea2023-08-02T06:52:22ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2019-12-01375451123112810.22122/jims.v37i545.118823506The Relationship of Blood Groups and in-Hospital Mortality of Patients with Thoracic Aortic DissectionAhmad Separham0Reza Hajizadeh1Abdolmohammad Ranjbar2Arvin Zabeh3Masoumeh Jahanafrouz4Associate Professor, Department of Cardiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranAssistant Professor, Department of Cardiology, School of Medicine, Urmia University of Medical Sciences, Urmia, IranAssistant Professor, Department of Cardiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranStudent of Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranStudent of Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranBackground: Acute aortic dissection is one of the catastrophic cardiovascular events with high in-hospital mortality. We aimed to assess the distribution of ABO blood groups in patients with acute aortic dissection, and to identify any association between their blood groups and in-hospital mortality. Methods: In cross-sectional study, 147 patients with confirmed acute aortic dissection by computed tomography angiography were included. According to the type of their blood groups, patients were divided into non-O (including A, B, and AB blood groups) and O blood groups. According to the tearing location, patient were divided into proximal (ascending aorta) and distal (descending aorta) dissection groups. The data were statistically analyzed using chi-square, Fisher's exact, and independent t tests. Findings: The mean age of patients was 58.77 ± 16.04 and 59.3 ± 15.32 years in non-O and O blood groups, respectively. From 147 patients with thoracic aortic dissection, 93 patients had non-O and 54 patients had O blood groups. A and O blood groups were seen more frequently among the patients. 54 patients (36.7%) died during their hospital course. Blood groups of AB [odds ratio (OR) = 3.52] and A (OR = 1.67) had stronger correlation with in-hospital mortality. Patients with blood group O had better in-hospital survival (OR = 0.40). Conclusion: It seems that patients with aortic dissection and O blood group have a better in-hospital survival than patients with non-O blood groups.http://jims.mui.ac.ir/index.php/jims/article/view/11882aortadissectionaortic aneurysmblood groups
spellingShingle Ahmad Separham
Reza Hajizadeh
Abdolmohammad Ranjbar
Arvin Zabeh
Masoumeh Jahanafrouz
The Relationship of Blood Groups and in-Hospital Mortality of Patients with Thoracic Aortic Dissection
مجله دانشکده پزشکی اصفهان
aorta
dissection
aortic aneurysm
blood groups
title The Relationship of Blood Groups and in-Hospital Mortality of Patients with Thoracic Aortic Dissection
title_full The Relationship of Blood Groups and in-Hospital Mortality of Patients with Thoracic Aortic Dissection
title_fullStr The Relationship of Blood Groups and in-Hospital Mortality of Patients with Thoracic Aortic Dissection
title_full_unstemmed The Relationship of Blood Groups and in-Hospital Mortality of Patients with Thoracic Aortic Dissection
title_short The Relationship of Blood Groups and in-Hospital Mortality of Patients with Thoracic Aortic Dissection
title_sort relationship of blood groups and in hospital mortality of patients with thoracic aortic dissection
topic aorta
dissection
aortic aneurysm
blood groups
url http://jims.mui.ac.ir/index.php/jims/article/view/11882
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