Effects of Sex on Early Outcome following Repair of Acute Type A Aortic Dissection: Results from The Nordic Consortium for Acute Type A Aortic Dissection (NORCAAD).


Journal

Aorta (Stamford, Conn.)
ISSN: 2325-4637
Titre abrégé: Aorta (Stamford)
Pays: Germany
ID NLM: 101655549

Informations de publication

Date de publication:
Feb 2019
Historique:
entrez: 23 7 2019
pubmed: 23 7 2019
medline: 23 7 2019
Statut: ppublish

Résumé

 Female sex is known to have increased perioperative mortality in cardiac surgery. Studies reporting effects of sex on outcome following surgical repair for acute Type A aortic dissection (ATAAD) have been limited by small cohorts of heterogeneous patient populations and have shown diverging results. This study aimed to compare perioperative characteristics, operative management, and postoperative outcome between sexes in a large and well-defined cohort of patients operated for ATAAD.  The Nordic Consortium for Acute Type A Aortic Dissection study included patients with surgical repair of ATAAD at eight Nordic centers between January 2005 and December 2014. Independent predictors of 30-day mortality were identified using multivariable logistic regression.  Females represented 373 (32%) out of 1,154 patients and were significantly older (65 ± 11 vs. 60 ± 12 years,  This study found no association between sex and early mortality following surgery for ATAAD, despite females being older and having more comorbidities, yet also presenting with a less widespread dissection than males.

Sections du résumé

BACKGROUND BACKGROUND
 Female sex is known to have increased perioperative mortality in cardiac surgery. Studies reporting effects of sex on outcome following surgical repair for acute Type A aortic dissection (ATAAD) have been limited by small cohorts of heterogeneous patient populations and have shown diverging results. This study aimed to compare perioperative characteristics, operative management, and postoperative outcome between sexes in a large and well-defined cohort of patients operated for ATAAD.
METHODS METHODS
 The Nordic Consortium for Acute Type A Aortic Dissection study included patients with surgical repair of ATAAD at eight Nordic centers between January 2005 and December 2014. Independent predictors of 30-day mortality were identified using multivariable logistic regression.
RESULTS RESULTS
 Females represented 373 (32%) out of 1,154 patients and were significantly older (65 ± 11 vs. 60 ± 12 years,
CONCLUSIONS CONCLUSIONS
 This study found no association between sex and early mortality following surgery for ATAAD, despite females being older and having more comorbidities, yet also presenting with a less widespread dissection than males.

Identifiants

pubmed: 31330546
doi: 10.1055/s-0039-1687900
pmc: PMC6645907
doi:

Types de publication

Journal Article

Langues

eng

Pagination

7-14

Informations de copyright

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest related to this article.

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Auteurs

Raphaelle A Chemtob (RA)

Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

Vibeke Hjortdal (V)

Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Skejby, Denmark.

Anders Ahlsson (A)

Heart and vascular theme, Karolinska University Hospital, Stockholm, Sweden.

Jarmo Gunn (J)

Department of Surgery, Heart Center, Turku University Hospital, University of Turku, Turku, Finland.

Ari Mennander (A)

Department of Cardiothoracic Surgery, Heart Center, Tampere University Hospital, Tampere, Finland.

Igor Zindovic (I)

Department of Clinical Sciences, Skane University Hospital, Lund University, Lund, Sweden.
Department of Cardiothoracic Surgery, Skane University Hospital, Lund University, Lund, Sweden.

Christian Olsson (C)

Heart and vascular theme, Karolinska University Hospital, Stockholm, Sweden.

Aldina Pivodic (A)

Statistiska Konsultgruppen, Gothenburg, Sweden.

Emma C Hansson (EC)

Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Anders Jeppsson (A)

Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Arnar Geirsson (A)

Section of Cardiac Surgery, Yale University School of Medicine, New Haven, Connecticut.

Tomas Gudbjartsson (T)

Department of Cardiothoracic Surgery, Landspitali University Hospital, Hringbraut, Reykjavik, Iceland.

Classifications MeSH