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标题:Significance of preoperative acute kidney injury in patients with acute type A aortic dissection.
时间:2020-02-15 00:38:42
DOI:10.1016/j.jfma.2018.09.003
PMID:30292680
作者:Tsu-Ming;Chien;Hao
关键词:Acute;kidney;injury;Acute;type;A;aortic;dissection;Mortality
摘要:Acute type A aortic dissection (AAD) is a medical emergency with high mortality even with emergency repair. We explored the risk factors for in-hospital mortality and the impact of preoperative acute kidney injury (AKI) in patients with AAD.Our hospital database contained records for 156 consecutive patients who underwent AAD repair between March 2000 and February 2013. They were assigned to the in-hospital mortality or the survival group. All data were collected retrospectively.The 30-day mortality, including intraoperative deaths, was 14.1% (22/156). Total in-hospital mortality was 19.2% (30/156). Patients who required preoperative cardiopulmonary resuscitation (CPR) (16.7 vs 3.2%; P = 0.012), or who presented with preoperative cardiac tamponade (46.7 vs 19.0%; P = 0.002), shock/hypotension (56.7 vs 21.4%; P On the basis of our results, preoperative stage 3 AKI is a crucial prognostic risk factor for patients with AAD repair, Cardiac surgeons should be aware of this condition when dealing with AAD patients.
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目录:
  • Significance of preoperative acute kidney injury in patients with acute type A aortic dissection
    • Introduction
    • Materials and methods
      • Statistical analysis
    • Results
      • In-hospital mortality
      • Demographic data and clinical presentation
      • Surgery
      • Preoperative AKI
      • Risk factors of in-hospital mortality
      • Risk factors of preoperative AKI
    • Discussion
    • Conflict of interest
    • Acknowledgments
    • Appendix A. Supplementary data
    • References

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