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. 2009 Jul 7;3:81–95. doi: 10.2174/1874192400903010081

Table 1.

Potential Predictors of AAD Type A Investigated in the Literature Between 2000 and 2008

Variables 2000 Ref1 2000 Ref2 2000 Ref3§ 2001 Ref4§ 2004 Ref5 2006 Ref6 2006 Ref7 2008 Ref8§ 2008 Ref9§ Rome Study P<
Demographic
 Year of surgery + + + *
 Age + + + + + + + + + *
 Sex + + + + + + + + + *
 NYHA class + +
Pre-operative
 Diabetes + + +
 Atherosclerosis + +
 High blood pressare + + + + + + + *
 Marfan syndrome + + + + + + *
 Shock + + + + + + *
 Syncope + +
 Intubated + + *
 Pericardial effusion + +
 Pain + + + +
 Pulselessness + +
 Neurological symptoms + + + *
 Ischemic complications + + +
 Onset symptoms + +
 Previous cardiac surgery + + + + + + *
 Diagnosis + + +
 Coronary artery disease + +
 COPD + +
 Ejection fraction + +
Operative
 Canulation site + + + + +
 Extracorporeal circulation (min) + + + + *
 Circulatory arrest (min) + + + + *
 Clamping time (min) + + +
 Temperature (°C) + + +
 Brain protection (coded) + + + + *
 Bicuspid aortic valve + + *
 Aortic insufficiency + + +
 Hemopericardium + + *
 Type of surgery (coded) + + + + + + + *
 Coronary bypass + + +
 Aortic ropture + +
Immediate Post-operative
 Bleeding in the first 24 h (ml) + + + + + *
 Limb ischemia + *
 Renal complications + + *
 Dialysis in continuous + + + *
 Chronic renal failure + + + + *
 Enterological complications + + + *
 Neurological deficits + + + + + + + *
 Tracheosthomy + + +
 Respiratory insufficiency + +
 Malperfusion syndrome + +
Variables Studied (N) 18 11 5 16 14 17 11 10 17 37 22

Table 1. Apart the variable named “limb ischemia”, only potential predictors considered by at least 2 Studies, including our own, were considered. AAD: ascending aortic dissection; COPD: chronic obstructive pulmonary disease.

§

marked references are technical reports rather than investigations purposely undertaken to assess the potential predictors of AAD Type A.

*

p<0.05 when comparing 30-day post-operative deaths versus patients alive, by univariate analysis, after Type A acute aortic dissection among 121 patients operated at the University of Rome “La Sapienza”, Cardiac Surgical Department: of the 37 variables investigated in our own Study, 22 showed significant differences and were therefore considered for multivariate analyses.