Incidence, Risk Factors and Outcomes of Postoperative Headache After Stanford Type a Acute Aortic Dissection Surgery.
Incidence, Risk Factors and Outcomes of Postoperative Headache After Stanford Type a Acute Aortic Dissection Surgery.
复制标题
斯坦福 a 型急性主动脉夹层手术后术后头痛的发生率、危险因素和结果
DOI：
10.3389/fcvm.2021.781137
复制
发表时间：
2021
影响因子：
3.6
通讯作者：
Zhang A
中科院分区：
文献类型：
--
作者：
Wang D;Le S;Luo J;Chen X;Li R;Wu J;Song Y;Xie F;Li X;Wang H;Huang X;Ye P;Du X;Zhang A
Background: Postoperative headache (POH) is common in clinical practice, however, no studies about POH after Stanford type A acute aortic dissection surgery (AADS) exist. This study aims to describe the incidence, risk factors and outcomes of POH after AADS, and to construct two prediction models. Methods: Adults who underwent AADS from 2016 to 2020 in four tertiary hospitals were enrolled. Training and validation sets were randomly assigned according to a 7:3 ratio. Risk factors were identified by univariate and multivariate logistic regression analysis. Nomograms were constructed and validated on the basis of independent predictors. Results: POH developed in 380 of the 1,476 included patients (25.7%). Poorer outcomes were observed in patients with POH. Eight independent predictors for POH after AADS were identified when both preoperative and intraoperative variables were analyzed, including younger age, female sex, smoking history, chronic headache history, cerebrovascular disease, use of deep hypothermic circulatory arrest, more blood transfusion, and longer cardiopulmonary bypass time. White blood cell and platelet count were also identified as significant predictors when intraoperative variables were excluded from the multivariate analysis. A full nomogram and a preoperative nomogram were constructed based on these independent predictors, both demonstrating good discrimination, calibration, clinical usefulness, and were well validated. Risk stratification was performed and three risk intervals were defined based on the full nomogram and clinical practice. Conclusions: POH was common after AADS, portending poorer outcomes. Two nomograms predicting POH were developed and validated, which may have clinical utility in risk evaluation, early prevention, and doctor-patient communication.
登录
查看更多内容
DOI：
10.1007/s00405-021-06627-6
发表时间：
2021-10
期刊：
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
影响因子：
--
作者：
Pogoda L;Nijdam JS;Smeeing DPJ;Voormolen EHJ;Ziylan F;Thomeer HGXM
通讯作者：
Thomeer HGXM
影响因子：
1.9
作者：
Liu Z;Wang C;Zhang X;Wu S;Fang C;Pang X
通讯作者：
Pang X
影响因子：
2
作者：
Jang, Min Kyeong;Park, Chang Gi;Kim, Eui Hyun
通讯作者：
Kim, Eui Hyun
影响因子：
2.8
作者：
Matsota, Paraskevi K.;Christodoulopoulou, Theodora C.;Kostopanagiotou, Georgia G.
通讯作者：
Kostopanagiotou, Georgia G.
影响因子：
4.9
作者：
de Oliveira Ribeiro, Maria do Carmo;Pereira, Carlos U.;Hora, Edilene C.
通讯作者：
Hora, Edilene C.