The Gender Gap in Aortic Dissection: A Prospective Analysis of Risk and Outcomes.
Stanford type A acute aortic dissection
aortic dissection
gender gap
in-hospital mortality
risk factors
Journal
Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures)
ISSN: 2393-1809
Titre abrégé: J Crit Care Med (Targu Mures)
Pays: Poland
ID NLM: 101706934
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
received:
27
01
2023
accepted:
28
07
2023
medline:
17
8
2023
pubmed:
17
8
2023
entrez:
17
8
2023
Statut:
epublish
Résumé
Aortic dissection (AD) is a severe cardiovascular condition that could have negative consequences. Our study employed a prospective design and examined preoperative, perioperative, and postoperative data to evaluate the effects of gender on various medical conditions. We looked at how gender affected the results of aortic dissection (AD). In contrast to female patients who had more systemic hypertension (p=0.031), male patients had higher rates of hemopericardium (p=0.003), pulmonary hypertension (p=0.039), and hemopericardium (p=0.003). Dobutamine administration during surgery significantly raised the mortality risk (p=0.015). There were noticeably more women patients (p=0.01) in the 71 to 80 age group. Significant differences in age (p=0.004), eGFR at admission (p=0.009), and eGFR at discharge (p=0.006) were seen, however, there was no association between gender and mortality. In conclusion, our findings highlight that gender may no longer be such an important aspect of aortic dissection disease as we previously thought, and this information could have an important contribution for surgeons as well as for anesthesiologists involved in the management of acute aortic dissection.
Identifiants
pubmed: 37588179
doi: 10.2478/jccm-2023-0024
pii: jccm-2023-0024
pmc: PMC10425927
doi:
Types de publication
Journal Article
Langues
eng
Pagination
178-186Informations de copyright
© 2023 Cosmin Banceu et al., published by Sciendo.
Déclaration de conflit d'intérêts
Conflicts of interest None to declare
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