Predictors of early adverse events after ascending aortic replacement
https://doi.org/10.29001/2073-8552-2022-37-1-108-117
Abstract
Objective. The aim of this study was to identify predictors of adverse events after ascending aortic replacement for the aortic aneurysms in the early postoperative period.
Material and Methods. The analysis included 151 patients with ascending aortic aneurysm who underwent non-hemiarch or hemiarch repair. The following adverse outcomes were selected: postoperative delirium, respiratory failure, bleeding, multiple organ dysfunction syndrome, and in-hospital mortality. Predictors of adverse clinical events were identified by constructing uni- and multivariate logistic regression.
Results. Significant predictors of early outcomes and mortality after ascending aortic replacement were as follows: female gender, atrial fibrillation, low glomerular filtration rate, chronic obstructive pulmonary disease, aortic root repair, multiple organ dysfunction, duration of cardiac arrest, operation time, and reoperation for bleeding.
Conclusions. The risk factors of adverse outcomes after ascending aortic replacement were decreased kidney function, atrial fibrillation, female gender, aortic root repair, and increased duration of cardiac arrest and operation time.
About the Authors
B. N. Kozlov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Dr. Sci. (Med.), Head of the Department of Cardiovascular Surgery,
111a, Kievskaya str., Tomsk, 634012
D. S. Panfilov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Dr. Sci. (Med.), Senior Research Scientist,
111a, Kievskaya str., Tomsk, 634012
E. L. Sonduev
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Cardiovascular Surgeon,
111a, Kievskaya str., Tomsk, 634012
V. L. Lukinov
Institute of Computational Mathematics and Mathematical Geophysics of the Siberian Branch of the Russian Academy of Sciences
Russian Federation
Russian Federation
Cand. Sci. (Phys.-Math.), Senior Research Scientist,
6, Ac. Lavrentieva ave., Novosibirsk, 630090
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Review
For citations:
Kozlov B.N., Panfilov D.S., Sonduev E.L., Lukinov V.L. Predictors of early adverse events after ascending aortic replacement. Siberian Journal of Clinical and Experimental Medicine. 2022;37(1):108-117. (In Russ.) https://doi.org/10.29001/2073-8552-2022-37-1-108-117
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