Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection

Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection

Abstract Background The purpose of this study is to identify the risk factors for postoperative severe hypoxemia after surgery for acute type A aortic dissection. Methods This was a single-center retrospective study including 112 consecutive patients undergoing urgent aortic arch surgery for acute t...

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Main Authors: Ming Gong, Zining Wu, Shijun Xu, Lei Li, Xiaolong Wang, Xinliang Guan, Hongjia Zhang
Format: Article
Language:English
Published: BMC 2019-04-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Body mass index
Cardiovascular disease
Gender
Hypoxemia
Risk factors
Online Access:http://link.springer.com/article/10.1186/s13019-019-0888-9
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spelling doaj-35629109368d43f8bf5eef8071704cb12020-11-25T03:02:43ZengBMCJournal of Cardiothoracic Surgery1749-80902019-04-011411910.1186/s13019-019-0888-9Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissectionMing Gong0Zining Wu1Shijun Xu2Lei Li3Xiaolong Wang4Xinliang Guan5Hongjia Zhang6Department of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesDepartment of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesDepartment of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesDepartment of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesDepartment of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesDepartment of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesDepartment of Cardiac Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Laboratory for Cardiovascular Precision Medicine, and Beijing Engineering Research Center of Vascular ProsthesesAbstract Background The purpose of this study is to identify the risk factors for postoperative severe hypoxemia after surgery for acute type A aortic dissection. Methods This was a single-center retrospective study including 112 consecutive patients undergoing urgent aortic arch surgery for acute type A aortic dissection between December 2016 and April 2017 at Beijing Anzhen Hospital. Results Multivariate logistic regression analysis identified female (OR, 12.978; 95% CI, 3.332 to 50.546; p < 0.001) and increased body mass index (OR, 1.473; 95% CI, 1.213 to 1.789; p < 0.001) as independent predictors of postoperative severe hypoxemia in patients with acute type A aortic dissection. Conclusions Obesity and female were independent risk factors for postoperative severe hypoxemia in patients with acute type A aortic dissection. More attention should be paid to preventing postoperative severe hypoxemia in obese women with acute type A aortic dissection.http://link.springer.com/article/10.1186/s13019-019-0888-9Body mass indexCardiovascular diseaseGenderHypoxemiaRisk factors
collection DOAJ
language English
format Article
sources DOAJ
author Ming Gong
Zining Wu
Shijun Xu
Lei Li
Xiaolong Wang
Xinliang Guan
Hongjia Zhang
spellingShingle Ming Gong
Zining Wu
Shijun Xu
Lei Li
Xiaolong Wang
Xinliang Guan
Hongjia Zhang
Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
Journal of Cardiothoracic Surgery
Body mass index
Cardiovascular disease
Gender
Hypoxemia
Risk factors
author_facet Ming Gong
Zining Wu
Shijun Xu
Lei Li
Xiaolong Wang
Xinliang Guan
Hongjia Zhang
author_sort Ming Gong
title Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
title_short Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
title_full Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
title_fullStr Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
title_full_unstemmed Increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
title_sort increased risk for the development of postoperative severe hypoxemia in obese women with acute type a aortic dissection
publisher BMC
series Journal of Cardiothoracic Surgery
issn 1749-8090
publishDate 2019-04-01
description Abstract Background The purpose of this study is to identify the risk factors for postoperative severe hypoxemia after surgery for acute type A aortic dissection. Methods This was a single-center retrospective study including 112 consecutive patients undergoing urgent aortic arch surgery for acute type A aortic dissection between December 2016 and April 2017 at Beijing Anzhen Hospital. Results Multivariate logistic regression analysis identified female (OR, 12.978; 95% CI, 3.332 to 50.546; p < 0.001) and increased body mass index (OR, 1.473; 95% CI, 1.213 to 1.789; p < 0.001) as independent predictors of postoperative severe hypoxemia in patients with acute type A aortic dissection. Conclusions Obesity and female were independent risk factors for postoperative severe hypoxemia in patients with acute type A aortic dissection. More attention should be paid to preventing postoperative severe hypoxemia in obese women with acute type A aortic dissection.
topic Body mass index
Cardiovascular disease
Gender
Hypoxemia
Risk factors
url http://link.springer.com/article/10.1186/s13019-019-0888-9
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AT shijunxu increasedriskforthedevelopmentofpostoperativeseverehypoxemiainobesewomenwithacutetypeaaorticdissection
AT leili increasedriskforthedevelopmentofpostoperativeseverehypoxemiainobesewomenwithacutetypeaaorticdissection
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