Early postoperative organ dysfunction is highly associated with the mortality risk of patients with type A aortic dissection Article Swipe
Minghao Luo
,
Jing‐chao Luo
,
Yijie Zhang
,
Xin Xu
,
Ying Su
,
Jiakun Li
,
Chunsheng Wang
,
Hao Lai
,
Yongxin Sun
,
Jun Li
,
Guo-Wei Tu
,
Zhe Luo
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/icvts/ivac266
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/icvts/ivac266
OBJECTIVES This study assessed the impact of early postoperative organ dysfunction (EPOD) on in-hospital mortality of patients with type A aortic dissection (TAAD) after surgery. METHODS Patients with TAAD who underwent surgical repair requiring deep hypothermic circulatory arrest from January 2020 to December 2021 were included. The Sequential Organ Failure Assessment (SOFA) score was calculated for 3 days postoperatively to stratify the severity of organ dysfunction. Patients with the SOFA of 0–4, 5–8 or >8 were defined as mild, moderate or severe EPOD. The primary outcome was in-hospital mortality, and a composite secondary outcome was defined as in-hospital death or any major complications. Kaplan–Meier curves were used to compare survival probability. The area under the receiver operating characteristic curve and calibration plots were used to evaluate the predictive power and overall performance of SOFA. RESULTS Of the 368 patients, 5 patients (3%) with moderate EPOD and 33 patients (23%) with severe EPOD died. No patient died with mild EPOD. The areas under the receiver operating characteristic curve of SOFA for predicting mortality and the composite outcome were 0.85 (0.81–0.88) and 0.81 (0.77–0.85) on postoperative day 1. Each point of postoperative day 1 SOFA score corresponded to an odds ratio of 1.65 (1.42–1.92) for mortality. Of the 6 components of the SOFA system, only coagulation (2.34 [1.32–4.13]), cardiovascular (1.47 [1.04–2.08]), central nervous system (1.96 [1.36–2.82]) and renal (1.67 [1.04–2.70]) functions were associated with the higher risk of mortality. CONCLUSIONS EPOD stratified by the SOFA score was associated with a higher risk of death and predicted the clinical outcomes of patients with TAAD with good accuracy.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/icvts/ivac266
- https://academic.oup.com/icvts/article-pdf/35/6/ivac266/46867583/ivac266.pdf
- OA Status
- hybrid
- Cited By
- 14
- References
- 19
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4307580727
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4307580727Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/icvts/ivac266Digital Object Identifier
- Title
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Early postoperative organ dysfunction is highly associated with the mortality risk of patients with type A aortic dissectionWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-10-29Full publication date if available
- Authors
-
Minghao Luo, Jing‐chao Luo, Yijie Zhang, Xin Xu, Ying Su, Jiakun Li, Chunsheng Wang, Hao Lai, Yongxin Sun, Jun Li, Guo-Wei Tu, Zhe LuoList of authors in order
- Landing page
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https://doi.org/10.1093/icvts/ivac266Publisher landing page
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https://academic.oup.com/icvts/article-pdf/35/6/ivac266/46867583/ivac266.pdfDirect link to full text PDF
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/icvts/article-pdf/35/6/ivac266/46867583/ivac266.pdfDirect OA link when available
- Concepts
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Medicine, Aortic dissection, Cardiology, Internal medicine, Organ dysfunction, Aortic aneurysm, Aorta, Surgery, SepsisTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
14Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 7, 2023: 4Per-year citation counts (last 5 years)
- References (count)
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19Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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