Tip A Aort Diseksiyonlarında Operasyon Sonrası Erken Dönem Mortalite Ve Morbidite Üzerine Etki Eden Faktörlerin Retrospektif İncelenmesi

Engin, Mesut; Goncu, Tugrul; Güvenç, Orhan; Savran, Muhammed; Özyazicioğlu, Ahmet

doi:10.5798/dicletip.497890

Dicle Tıp Dergisi

2018

DOI: 10.5798/dicletip.497890

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Tip A Aort Diseksiyonlarında Operasyon Sonrası Erken Dönem Mortalite Ve Morbidite Üzerine Etki Eden Faktörlerin Retrospektif İncelenmesi

Mesut Engin¹,

Tugrul Goncu²,

Orhan Güvenç³

et al.

Abstract: Amaç: Aortik diseksiyon günümüzde hala önemli bir mortalite ve morbidite nedenidir. Tip A aort diseksiyonu nedeniyle ameliyat edilen hastalarda birçok faktör cerrahi sonuçları etkilemektedir. Bu faktörlerin yeterince belirlenmesi tedavinin başarılı olmasına etki edecektir. Yöntemler: Kliniğimizde Ocak 2006-Aralık 2016 yılları arasında Tip A aort diseksiyonu tanısı ile opere edilen 140 hastanın preoperatif, intraoperatif, ve postoperatif verileri, hasta dosyaları ve hastane bilgi yönetim sistem kayıtlarından re… Show more

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Cited by 2 publications

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Intraoperative nadir hematocrit as a poor outcome predictor after acute type A aortic dissection surgey

Yavuz

Engin

2022

Journal of Cardiac Surgery

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Acute type A aortic dissection is a life‐threatening disease associated with high morbidity and mortality that requires urgent surgical intervention. Hemodilution is inevitable in cardiac operations performed with cardiopulmonary bypass, which leads to nadir hematocrit levels. Studies have shown that nadir hematocrit levels are associated with poor postoperative outcomes. The management strategy of intraoperative anemia in these operations is still controversial. Should we follow the patients with intraoperative low hematocrit values or should we transfuse them? In addition to intraoperative nadir hematocrit, cannulation strategies play an important role in early postoperative outcomes after aortic dissection surgery.

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Intraoperative nadir hematocrit as a poor outcome predictor after acute type A aortic dissection surgey

Yavuz

Engin

2022

Journal of Cardiac Surgery

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Investigation of the Effect of Acute to Chronic Glycemic Ratio on the Development of Postoperative Pneumonia After Stanford Type A Acute Aortic Dissection Surgery

2023

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Aim: Acute Type A aortic dissection (ATAAD) is an important clinical condition that requires urgent surgical intervention. Various organ failures and the development of postoperative pneumonia are also important problems. In this study, we aimed to investigate the value of admission blood glucose (ABG)/estimated average glucose (eAG) ratio in predicting the development of postoperative pneumonia after ATAAD surgery. Material and Methods: Patients who were operated for ATAAD between January 2016 and January 2022 were consecutively included in the study. Patients who did not develop pneumonia in the postoperative period were recorded as Group 1, and those who did develop as Group 2. Results: A total of 124 patients were included in the study. Those who did not develop postoperative pneumonia were included in Group 1 (N = 92, median age = 63.7±9.2 years), and those who did were included in Group 2 (N = 32, median age = 66.9±9.6 years). As a result of multivariate analysis, ventilation time (OR: 1.114 CI 95%: 1.030-1.542, P=0.023), and ABG/eAG ratio (OR: 0.886, CI 95%: 0.695-0.990, P=0.009) values were determined as independent predictors for predicting postoperative pneumonia. Conclusion: In this study, we showed that the ABG/eAG ratio obtained from the blood values of the patients at the time of admission is an important predictor for the development of postoperative pneumonia

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Tip A Aort Diseksiyonlarında Operasyon Sonrası Erken Dönem Mortalite Ve Morbidite Üzerine Etki Eden Faktörlerin Retrospektif İncelenmesi

Cited by 2 publications

References 13 publications

Intraoperative nadir hematocrit as a poor outcome predictor after acute type A aortic dissection surgey

Intraoperative nadir hematocrit as a poor outcome predictor after acute type A aortic dissection surgey

Investigation of the Effect of Acute to Chronic Glycemic Ratio on the Development of Postoperative Pneumonia After Stanford Type A Acute Aortic Dissection Surgery

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