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Sex disparities in patients with acute aortic dissection: A scoping review.
Filiberto, Amanda C; Ramadan, Omar I; Wang, Grace J; Cooper, Michol A.
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  • Filiberto AC; Department of Surgery, Division of Vascular Surgery, 1329 SW 16th St., University of Florida, Gainesville, FL, 32610.
  • Ramadan OI; Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.
  • Wang GJ; Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.
  • Cooper MA; Department of Surgery, Division of Vascular Surgery, 1329 SW 16th St., University of Florida, Gainesville, FL, 32610. Electronic address: michol.cooper@surgery.ufl.edu.
Semin Vasc Surg ; 36(4): 492-500, 2023 Dec.
Article en En | MEDLINE | ID: mdl-38030323
Disparities in outcomes for patients with cardiovascular disease and those undergoing cardiac or vascular operations are well-established. These disparities often span several dimensions and persist despite advancements in medical and surgical care; sex is among the most pervasive. Specifically, females sex has been implicated as a predictor of poor outcomes in both patients with acute type A aortic dissections (ATAADs) and type B aortic dissections (TBADs). For instance, one study, using the International Registry of Acute Aortic Dissection database, found that females with acute aortic dissection-including ATAAD and TBAD that were either medically or surgically managed-had 40% higher odds of in-hospital mortality than men. Notably, both types of acute aortic dissections affect men more commonly than females and can be life-threatening without prompt, appropriate treatment. The underlying mechanisms for these disparities are unclear but are thought to be multifactorial. The association of sex with patterns of disease and outcomes in patients with ATAAD or TBAD remains unclear, with conflicting reports from different studies. Thus, we sought to review the literature regarding sex disparities in patients with ATAAD and TBAD.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Cardiovasculares / Aneurisma de la Aorta Torácica / Procedimientos Endovasculares / Disección Aórtica Tipo de estudio: Systematic_reviews Límite: Female / Humans / Male Idioma: En Revista: Semin Vasc Surg Asunto de la revista: ANGIOLOGIA Año: 2023 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: Enfermedades Cardiovasculares / Aneurisma de la Aorta Torácica / Procedimientos Endovasculares / Disección Aórtica Tipo de estudio: Systematic_reviews Límite: Female / Humans / Male Idioma: En Revista: Semin Vasc Surg Asunto de la revista: ANGIOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos