Investigation of the Effect of Acute to Chronic Glycemic Ratio on the Development of Postoperative Pneumonia After Stanford Type A Acute Aortic Dissection Surgery

Authors : Orhan GÜVENÇ, Mesut ENGİN, Senol YAVUZ

Pages : 140-5

Doi:10.37990/medr.1185908

View : 28 | Download : 7

Publication Date : 2023-01-15

Article Type : Research Paper

Abstract :Aim: A critical clinical condition called acute Type A aortic dissection insert ignore into journalissuearticles values(ATAAD); necessitates quick surgical action. Other significant issues include the emergence of postoperative pneumonia and various organ failures. We sought to determine how well the ratio of admission blood glucose insert ignore into journalissuearticles values(ABG); to estimated average glucose insert ignore into journalissuearticles values(eAG); might be used to anticipate postoperative pneumonia following ATAAD surgery. Materials and Methods: The study comprised patients who underwent ATAAD surgery between January 2016 and January 2022. In the postoperative phase, patients were divided into two groups: Group 1 for those who did not acquire pneumonia and Group 2 for those who did. Results: The study involved 124 patients in total. Group 1 [N = 92, median age = 51 insert ignore into journalissuearticles values(32 to 80); years] consisted of those who did not acquire postoperative pneumonia, but Group 2 [N = 32, median age = 53 insert ignore into journalissuearticles values(30 to 77);] did. ABG/eAG ratio and ventilation time were found to be independent predictors of postoperative pneumonia by multivariate analysis [insert ignore into journalissuearticles values(OR: 0.886, CI 95%: 0.695-0.990, P=0.009); and insert ignore into journalissuearticles values(OR: 1.114, 1.030-1.542, P=0.023);]. Conclusion: We demonstrated that ABG/eAG ratio, calculated at admission time, is a significant predictor of the development of postoperative pneumonia.
Keywords : Type A acute aortic dissection, glucose, risk factor, pneumonia