Objective:To explore the risk factors for in-hospital death among patients with acute type A aortic dissection(ATAAD).Methods:A retrospective analysis was conducted on the medical records of 288 ATAAD patients admitted to Yichang Central People's Hospital from January 2018 to December 2022.The patients were divided into in-hospital death group(n=30)and survival group(n=258)based on their prognosis.Multivariate Logistic regression analysis was performed to identify risk factors for in-hospital death among ATAAD patients,with the independent variables being the factors with P＜0.05 in the univariate analysis and the dependent variable being in-hospital death.Results:Univariate analysis showed significant differences in age,heart rate,white blood cell count(WBC),aspartate aminotransferase(AST),alanine aminotransferase(ALT),creatine kinase isoenzyme(CK-MB),and thyrotropin(TSH)levels between the two groups(all P＜0.05).Multivariate Logistic regression analysis revealed that age≥60 years(OR=2.807,95％CI:2.341,3.365),WBC＞10×109/L(OR=2.837,95％CI:2.360,3.410),and ALT≥40 U/L(OR=3.081,95％CI:2.525,3.760)were independent risk factors for in-hospital death of ATAAD(all P＜0.05).Conclusion:Age≥60 years,WBC＞10X109/L,and ALT≥40 U/L are independent risk factors for in-hospital death among ATAAD patients.
acute type A aortic dissection(ATAAD)in-hospital deathsurvivalrisk factors
维普
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