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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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
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author Gong, Ming
Wu, Zining
Xu, Shijun
Li, Lei
Wang, Xiaolong
Guan, Xinliang
Zhang, Hongjia
author_facet Gong, Ming
Wu, Zining
Xu, Shijun
Li, Lei
Wang, Xiaolong
Guan, Xinliang
Zhang, Hongjia
author_sort Gong, Ming
collection PubMed
description 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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spelling pubmed-64824832019-05-02 Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection Gong, Ming Wu, Zining Xu, Shijun Li, Lei Wang, Xiaolong Guan, Xinliang Zhang, Hongjia J Cardiothorac Surg Research Article 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. BioMed Central 2019-04-25 /pmc/articles/PMC6482483/ /pubmed/31023343 http://dx.doi.org/10.1186/s13019-019-0888-9 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Gong, Ming
Wu, Zining
Xu, Shijun
Li, Lei
Wang, Xiaolong
Guan, Xinliang
Zhang, Hongjia
Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
title Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
title_full Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
title_fullStr Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
title_full_unstemmed Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
title_short Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
title_sort increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
topic Research Article
url 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
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