Analysis of clinical outcomes and investigation of related factors in patients with acute aortic dissection
Objective To investigatie of clinical outcomes and related factors in patients with acute aortic dissection.Methods Retrospective analysis of clinical data of 76 patients with acute aortic dissection admitted to the Third Affilia-ted Hospital of Xinxiang Medical College from January 2018 to March 2023,according to whether the patient died within three months of admission,they were divided into a death group and a survival group,with 25 cases in the death group and 51 cases in the survival group.Compare baseline conditions,treatment methods,complications,and Stanford classi-fication between two groups of patients.The logistic method was used to analyze the influencing factors of mortality in pa-tients with acute aortic dissection.Results The proportion of people with hypertension in the survival group was lower than that in the death group,and there was a difference in Stanford classification between the survival group and the death group(P＜0.05).Further statistical analysis showed that the patients in the survival group and the death group had statistically significant differences in aorta diameter and the location of the intimal breach(P＜0.05);the propor-tion of postoperative complications in the death group is higher than that in the survival group(P＜0.05);the logistic results showed that hypertension,postoperative complications,and Stanford type A were all independent risk factors for mortality in patients with acute aortic dissection(P＜0.05).Conclusion Multiple factors can affect the clinical out-comes of patients with acute aortic dissection,including hypertension,postoperative complications,and Stanford A typ-ing,all of which are independent risk factors for mortality in patients with acute aortic dissection.
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