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1392/7/29، جلد ۴۲، شماره ۱۰، صفحات -
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
A Simple Emergency Prediction Tool for Acute Aortic Dissection |
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| چکیده انگلیسی مقاله |
Background: A simple emergency risk prediction tool should be developed for clinicians to quickly identify the prognosis of patients with acute aortic dissection. Methods: We enrolled 280 patients with acute aortic dissection admitted to emergency department between May 2010 and February 2013. Multivariate logistic regression analysis was performed to identify independent predictors of in-hospital death. Results: The in-hospital mortality of our patients with acute aortic dissection was 32.5%, in-hospital deaths with surgery less than the survived (34.1% VS 54.5%). Multivariate analysis identified that age (?65 years old), Type A, blood pressure (mean systolic blood pressure ? 90 mmHg), neutrophil percentage (? 80%) and serum D-dimer (? 5.0 mg/L) were significant predictors of death. With the simple emergency risk prediction tool, scores of all in-hospital deaths were ? 3, whereas almost all of the survivors (97.9%) had scores < 15. A score of 10 offered the best threshold value, with the highest sensitivity (81.3%) and specificity (86.8%). Conclusions: The in-hospital mortality rate of patients with acute aortic dissection is high and can be predicted. Early surgery would be beneficial for in-hospital survive. This tool should be available for clinicians in the emergency department to quickly identify the prognosis of patients with acute aortic dissection. |
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| کلیدواژه‌های انگلیسی مقاله |
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| نویسندگان مقاله |
2735---2736---2737---2738--- |
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| نشانی اینترنتی |
http://ijph.tums.ac.ir/index.php/IJPH/article/viewArticle/4295 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
Articles |
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