Open AccessPreoperative hematological parameters are inadequate for predicting mortality in Stanford Type A aortic dissection repair
Author(s) -
Selim Durmaz,
Ömer Faruk Rahman
Publication year - 2021
Publication title -
clinical surgery research communications
Language(s) - English
Resource type - Journals
eISSN - 2573-0096
pISSN - 2573-0088
DOI - 10.31491/csrc.2021.06.075
Subject(s) - aortic dissection , medicine , deep hypothermic circulatory arrest , circulatory system , cardiology , receiver operating characteristic , creatinine , dissection (medical) , surgery , mortality rate , biomarker , aorta , perfusion , biochemistry , chemistry , cerebral perfusion pressure
Background: Mortality in acute Type A aortic dissection is still high and unpredictable. We aimed to investigate the validity of preoperative hematological markers and possible risk factors in predicting in-hospital mortality in patients operated with deep hypothermic circulatory arrest method. Methods: 78 consecutive patients who were admitted to the emergency service and operated on were retrospectively analyzed. Risk factors for in-hospital death were investigated to develop a predictive model. Results: There was no difference between patients in terms of the were demographic data of the patients. In the mortality group, only preoperative creatinine levels were found to be higher (p 71 minutes, 68.2% sensitivity and 66.1% specificity, TCA > 44.5 minutes, 72.7% sensitivity and 73.2% specificity were found. In the mortality group, these values were found to be significantly higher than those who were discharged. Conclusion: In the surgical treatment of Type A aortic dissection under deep hypothermia, hematologic biomarkers may be insufficient in estimating the risk for mortality. Keywords: Acute; aortic dissection; biomarker; mortality