Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection

BACKGROUND: The purpose of this study is to identify the risk factors for postoperative severe hypoxemia after surgery for acute type A aortic dissection. METHODS: This was a single-center retrospective study including 112 consecutive patients undergoing urgent aortic arch surgery for acute type A a...

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Detalles Bibliográficos
Autores principales: Gong, Ming, Wu, Zining, Xu, Shijun, Li, Lei, Wang, Xiaolong, Guan, Xinliang, Zhang, Hongjia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482483/
https://www.ncbi.nlm.nih.gov/pubmed/31023343
http://dx.doi.org/10.1186/s13019-019-0888-9
Descripción
Sumario:BACKGROUND: The purpose of this study is to identify the risk factors for postoperative severe hypoxemia after surgery for acute type A aortic dissection. METHODS: This was a single-center retrospective study including 112 consecutive patients undergoing urgent aortic arch surgery for acute type A aortic dissection between December 2016 and April 2017 at Beijing Anzhen Hospital. RESULTS: Multivariate logistic regression analysis identified female (OR, 12.978; 95% CI, 3.332 to 50.546; p < 0.001) and increased body mass index (OR, 1.473; 95% CI, 1.213 to 1.789; p < 0.001) as independent predictors of postoperative severe hypoxemia in patients with acute type A aortic dissection. CONCLUSIONS: Obesity and female were independent risk factors for postoperative severe hypoxemia in patients with acute type A aortic dissection. More attention should be paid to preventing postoperative severe hypoxemia in obese women with acute type A aortic dissection.

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