ArticleJournal of cardiothoracic surgery2024
Risk factors for prolonged postoperative ICU stay in the patients with Stanford type A aortic dissection.
Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07167628 (Neurological Complications and Intensive-Care Workload After Emergency Repair of Acute Type A Aortic Dissection), which is not on this map. Cited by 5 papers.
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The trial behind it
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Neurological Complications and Intensive-Care Workload After Emergency Repair of Acute Type A Aortic Dissection: A Retrospective Cohort Study
Who cites it
5 citing papers in PubMed.
- Risks and outcomes of extubation failure after acute stanford Type A aortic dissection: a retrospective cohort study based on propensity score matching.Journal of cardiothoracic surgery · 2026Article
- Assessing the prognostic impact of body composition phenotypes on surgical outcomes in patients with acute type A aortic dissection.Journal of thoracic disease · 2026Article
- Development of a scoring system for the involvement of supra-aortic vessel in patients with type A aortic dissection.Journal of thoracic disease · 2026Article
- Impact of Pan-Immune Inflammation Value on Short-Term Outcomes and Long-Term Prognosis in Patients with Type A Aortic Dissection.Journal of inflammation research · 2025Article
- Temperature management in acute type A aortic dissection treatment: deep vs. moderate hypothermic circulatory arrest. Is colder better?Frontiers in cardiovascular medicine · 2024Article
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Authors and funding
7 authors.
Funding
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Abstract
objectiveTo investigate the independent risk factors for postoperative prolonged ICU stay in patients with Stanford type A aortic dissection (TAAD) and assess the clinical outcomes of prolonged ICU stay.
methodThe clinical data of 100 patients with TAAD admitted to the Department of Cardiovascular Surgery, First Affiliated Hospital of Anhui Medical University from December 2018 to September 2022 were retrospectively collected and analyzed. Patients were divided into two groups, based on the postoperative ICU stay (7 days as the threshold), regular ICU stay group (< 7 days) and prolonged ICU stay group (≥ 7 days). First, preoperative and intraoperative materials were collected for univariate analysis. Then, the significant variables after univariate analysis were analyzed using logistic regression, and the final independent risk factors for prolonged ICU stay were determined. Meanwhile, the postoperative clinical outcomes were analyzed with the aim of assessing the clinical outcomes due to prolonged ICU stay.
resultsThere were 65 and 35 patients in the regular ICU stay group and the prolonged ICU stay group, respectively. In accordance with the result of univariate analysis in the two groups, emergency surgery (χ
conclusionEmergency surgery, preoperative urea nitrogen, and CPB time are risk factors for postoperative prolonged ICU stay after TAAD surgery. Furthermore, prolonged ICU stay is associated with worse clinical outcomes. Hence, a reasonable strategy should be adopted proactively focusing on the risk factors to shorten ICU stays and improve clinical outcomes.
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