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Association between admission time and in-hospital mortality in acute aortic dissection patients: A retrospective cohort study.
Zhou, Yang; Yang, Guifang; He, Huaping; Pan, Xiaogao; Peng, Wen; Chai, Xiangping.
Afiliación
  • Zhou Y; Department of Emergency Medicine, Second Xiangya Hospital, Central South University; Emergency Medicine and Difficult Diseases Institute, Second Xiangya Hospital, Central South University, 139 Renmin Road, Changsha, Hunan province, 410011, China. Electronic address: zhouzhou1107@csu.edu.cn.
  • Yang G; Department of Emergency Medicine, Second Xiangya Hospital, Central South University; Emergency Medicine and Difficult Diseases Institute, Second Xiangya Hospital, Central South University, 139 Renmin Road, Changsha, Hunan province, 410011, China. Electronic address: yangguifang@csu.edu.cn.
  • He H; Department of Emergency Medicine, Second Xiangya Hospital, Central South University; Emergency Medicine and Difficult Diseases Institute, Second Xiangya Hospital, Central South University, 139 Renmin Road, Changsha, Hunan province, 410011, China. Electronic address: 2549062272@qq.com.
  • Pan X; Department of Emergency Medicine, Second Xiangya Hospital, Central South University; Emergency Medicine and Difficult Diseases Institute, Second Xiangya Hospital, Central South University, 139 Renmin Road, Changsha, Hunan province, 410011, China. Electronic address: 2581752947@qq.com.
  • Peng W; Department of Emergency Medicine, Second Xiangya Hospital, Central South University; Emergency Medicine and Difficult Diseases Institute, Second Xiangya Hospital, Central South University, 139 Renmin Road, Changsha, Hunan province, 410011, China. Electronic address: pengwen@csu.edu.cn.
  • Chai X; Department of Emergency Medicine, Second Xiangya Hospital, Central South University; Emergency Medicine and Difficult Diseases Institute, Second Xiangya Hospital, Central South University, 139 Renmin Road, Changsha, Hunan province, 410011, China. Electronic address: chaixiangping@csu.edu.cn.
Heart Lung ; 49(5): 651-659, 2020.
Article en En | MEDLINE | ID: mdl-32451113
PURPOSE: This study aimed to evaluate the relationship between admission time and in-hospital mortality in acute aortic dissection (AAD) patients. METHODS: The risk factors of in-hospital clinical outcomes were retrospectively evaluated in patients with AAD. All the patients were enrolled from January to December 2017 and were divided into two groups depending on the time of admission: daytime admissions were conducted from 8: 00 to 17: 30 hours whereas, nighttime admissions were from 17: 30 to 8: 00 hours. The primary endpoints were in-hospital mortality. Univariate and multivariable cox analyses were used to test the association between admission time and in-hospital mortality. RESULTS: The average age of the 363 participants in the present study was 52.25 ± 11.77 years, of which 81.6% were male. A total of 183 (50.4%) of these patients were admitted during nighttime. In-hospital mortality rate was higher in the nighttime admission group than in the daytime admission group (HR=1.86; 95%CI, 1.13 to 3.06, P=0.015). After adjusting for age, sex, and other risk factors, nighttime admission suggested as an independent risk factor for in-hospital mortality (HR=2.67, 95%CI, 1.30 to 5.46; P=0.007). Further subgroup analysis showed that none of the variables had a significant effect on the association between nighttime admission and in-hospital mortality. CONCLUSION: Nighttime admission for type A acute aortic dissection is associated with a higher risk of in-hospital mortality. Therefore, health care systems should focus on managing the increased risk of in-hospital mortality among patients admitted at night, regardless of the cause.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disección Aórtica Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Heart Lung Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disección Aórtica Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Heart Lung Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos