Admission Systolic Blood Pressure and In-hospital Mortality in Acute Type A Aortic Dissection: A Retrospective Observational Study

Frontiers in Medicine

article

Guifang Yang¹  Wen Peng¹  Yang Zhou¹  Huaping He¹  Xiaogao Pan¹  Xizhao Li³  Xiangping Chai¹ 

[1] Department of Emergency Medicine, The Second Xiangya Hospital, Central South University;Emergency Medicine and Difficult Diseases Institute, Central South University;Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University

关键词: systolic blood pressure;    SBP;    aortic dissection;    AAD;    in-hospital mortality;   

DOI  :  10.3389/fmed.2021.542212

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background: Evidence between admission systolic blood pressure (SBP) and in-hospital deaths in acute type A aortic dissection (AAD) patients is inadequate. Here, we examined the relationship between SBP and in-hospital deaths in AAD patients. Methods: 703 AAD patients were enrolled from January 2014 to December 2018. The independent and dependent variables targeted were admission SBP and in-hospital deaths, respectively. Gender, age, body mass index (BMI), chronic renal insufficiency, smoking, hypertension, diabetes, laboratory indicators, and management were used as covariates. Results: The 703 participants had a mean age of 50.48 ± 11.35. About 76.24% of the participants were male. After adjusting for confounders, there was a negative correlation between AAD patients' admission SBP and in-hospital deaths (OR = 0.88, 95%CI 0.80–0.96). Consequently, a non-linear relationship of point 120 (mmHg) was detected between admission SBP and in-hospital deaths for AAD patients. Confidence intervals and effect sizes of the right (SBP >120 mmHg) and left (SBP ≤ 120 mmHg) sides of the inflection point were 0.96 (0.85–1.09) and 0.67 (0.51–0.88), respectively. The change in the male population and non-diabetes people was more pronounced according to subgroup analysis. Conclusions: Correlation between admission SBP and in-hospital mortality of AAD patients is non-linear. SBP negatively correlated with in-hospital mortality when ≤120 mmHg.

【 授权许可】

CC BY