Impact of Preoperative Anemia and Postoperative Hemoglobin Drop on the Incidence of Acute Kidney Injury and In-Hospital Mortality in Patients With Type B Acute Aortic Syndromes Undergoing Thoracic Endovascular Aortic Repair
Impact of Preoperative Anemia and Postoperative Hemoglobin Drop on the Incidence of Acute Kidney Injury and In-Hospital Mortality in Patients With Type B Acute Aortic Syndromes Undergoing Thoracic Endovascular Aortic Repair
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DOI：
10.1177/1538574417697211
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发表时间：
2017-04-01
影响因子：
0.9
通讯作者：
Janosi, Rolf Alexander
中科院分区：
文献类型：
--
作者：
Gorla, Riccardo;Tsagakis, Konstantinos;Janosi, Rolf Alexander
背景资料：术前贫血和术后血红蛋白（Hb）下降对急性肾损伤（阿基）的发病率胸主动脉腔内修复术（TEVAR）后的B型急性主动脉综合征（AAS），以及其预后价值的影响是unknown.Methods：这项回顾性研究包括144例B型AAS患者在我们的中心进行TEVAR。术前贫血分为无/轻度（男性Hb >= 12.0 g/ dL;女性>= 11.3 g/ dL）、中度（男性Hb 10.80-11.99 g/ dL;女性10.23-11.29 g/ dL）和重度（男性< 10.80 g/ dL;女性< 10.23 g/ dL）。术后Hb下降分为轻度（< 2 g/ dL）、中度（2-4 g/ dL）和重度（> 4 g/ dL）。研究的终点为术后阿基和院内死亡率。结果：重度和中度贫血组的术后阿基高于无/轻度贫血组（分别为63.2%、52.0%和31.0%，P = 0.01）。术后Hb严重下降的患者的住院死亡率和阿基（40.9%和86.4%）高于术后Hb中度下降的患者（6.9%和36.2%）和轻度下降的患者（4.7%和25.0%）（P
Background: The impact of preoperative anemia and postoperative hemoglobin (Hb) drop on the incidence of acute kidney injury (AKI) after thoracic endovascular aortic repair (TEVAR) for type B acute aortic syndromes (AAS) as well as their prognostic value is unknown.Methods: This retrospective study included 144 patients with type B AAS undergoing TEVAR at our center. Preoperative anemia was classified as no/ mild (Hb >= 12.0 g/ dL in men; >= 11.3 g/ dL in women), moderate (Hb 10.80-11.99 g/ dL in men; 10.23-11.29 g/ dL in women), and severe (< 10.80 g/ dL in men; < 10.23 g/ dL in women). Postoperative Hb drop was classified as mild (< 2 g/ dL), moderate (2-4 g/ dL), and severe (> 4 g/ dL). End points of the study were postoperative AKI and in-hospital mortality.Results: Postoperative AKI was higher in the severe and moderate anemia groups than the no/ mild anemia group (63.2%, 52.0%, and 31.0%, respectively, P =.01). In-hospital mortality and AKI were higher in patients with severe postoperative Hb drop (40.9% and 86.4%) than patients with moderate (6.9% and 36.2%) and mild (4.7% and 25.0%) postoperative Hb drop (both P