Predictors of in-hospital mortality in patients with acute aortic dissection

Chan, Shih-Hung; Liu, Ping-Yen; Lin, Li Jen; Chen, Jyh Hong

doi:10.1016/j.ijcard.2004.12.038

Cited by 17 publications

(10 citation statements)

References 15 publications

(24 reference statements)

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“…They have reported that if the presentation is after 48 h of chest pain then there is no significant difference between surgical and medical management in 10 years although the trend points to better survival in surgical group. Such conclusions have been reached by other like Chan et al [2].…”

supporting

confidence: 67%

Localised Ascending Aortic Dissection Managed Conservatively

Iyer

Prabha

Nazaar

et al. 2012

Heart, Lung and Circulation

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supporting

confidence: 67%

Localised Ascending Aortic Dissection Managed Conservatively

Iyer

Prabha

Nazaar

et al. 2012

Heart, Lung and Circulation

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“…Another study from USA in 2002 reported that AD happened with a peak in January (winter) 9,10 . A 12-year series (n ¼ 198) from southern Taiwan also found night time AD onset to be more common than daytime 11 .…”

Section: Discussionmentioning

confidence: 94%

The Clinical Presentation and Correlation, Prognosis in Elderly Aortic Dissection Patients with Hypotension

Liu

Yeh

2015

International Journal of Gerontology

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s u m m a r y Background: Aortic dissection (AD) is an emergent cardiovascular disease in the emergency department (ED). Objective: To investigate the clinical manifestation and outcomes in patients with aortic dissection accompanied by greater mediastinal width (MW) and hypotension status, and make further comparisons. Methods: We studied retrospectively 127 AD cases in 6 consecutive years from January, 1, 2005 to December, 31, 2010 from the ED. We gathered the data of sex, age, time and season of episodes, medical histories, symptoms, and heart rate at triage, and further assessed MW and hypotensive status, and related them to clinical outcome (died or survival to discharge). Results: In total, 58 men and 20 women enrolled in this study (mean age, 65 ± 13 years). The MW in the elderly was greater than nonelderly (9.9 ± 1.9 cm vs. 9.4 ± 1.8 cm, p ¼ 0.04). AD patients who presented to ED with hypotension have significantly higher D-dimer level, longer hospital stay, and higher mortality rate. Conclusion: AD and larger MW are associated with being elderly and of hypotensive status. In addition, AD patients with hypotension may have longer hospital stay and higher mortality rate.

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“…8 Chan et al also recently reported on the predictors of inhospital mortality in patients with AAD in an Asian population. 9 Although their population included 108 cases with type B AAD, they did not analyze type B AAD independently. Therefore, predictors of in-hospital events in type B AAD patients have not been clearly established.…”

Section: Discussionmentioning

confidence: 99%