Predictors of In-hospital Death in Patients with Stanford Type B Acute Aortic Dissection

Authors : Murat DUYAN, Ali SARIDAŞ, Nafis VURAL

Pages : 96-100

Doi:10.55994/ejcc.1193021

View : 15 | Download : 8

Publication Date : 2022-12-30

Article Type : Research Paper

Abstract :Background: Even with immediate surgical intervention, acute aortic dissection insert ignore into journalissuearticles values(AAD); is a cardiovascular emergency with a high mortality rate. The purpose of this study was to look at the relationship between in-hospital mortality and red cell distribution width insert ignore into journalissuearticles values(RDW);/lymphocyte ratio insert ignore into journalissuearticles values(RLR);, monocyte/lymphocyte ratio insert ignore into journalissuearticles values(MLR);, and systemic immune inflammation index insert ignore into journalissuearticles values(SII); in patients with type B acute aortic dissection insert ignore into journalissuearticles values(BAAD);. Materials and methods: 59 BAAD patients who presented to the emergency room of a tertiary hospital were included in this cross-sectional study. The predictive ability and cut-off value of biomarkers for mortality were evaluated using Receiver Operating Characteristic insert ignore into journalissuearticles values(ROC); analysis. The variables believed to be connected to in-hospital mortality were subjected to multiple regression analysis, and the odds ratio was calculated. Results: The study consisted of 59 patients in total, 44 of whom insert ignore into journalissuearticles values(74.6%); were male. 17 of these patients died in the hospital. In terms of predicting in-hospital mortality in BAAD patients, MLR, and neutrophil/lymphocyte ratio insert ignore into journalissuearticles values(NLR); have excellent diagnostic power insert ignore into journalissuearticles values(AUC: 0.826, 0.822, respectively);, while platelet/lymphocyte ratio insert ignore into journalissuearticles values(PLR);, RLR, and SII have acceptable diagnostic power insert ignore into journalissuearticles values(AUC: 0.758-0.786);. Increased NLR, PLR, MLR, RLR, and SII were found to be independent predictors of in-hospital mortality in patients with BAAD insert ignore into journalissuearticles values(odss ratio: 9.16, 7.68, 9.33, 6, 8.57, respectively);. Conclusion: MLR, RLR, and SII are valuable parameters for estimating in-hospital mortality in adult BAAD patients. Increased NLR, PLR, MLR, RLR, and SII in BAAD patients are independent predictors of in-hospital mortality.
Keywords : RDW to lymphocyte ratio, monocyte to lymphocye ratio, acute aortic dissection type B, in hospital death