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Weekend Effect and Mortality Outcomes in Aortic Dissection: A Prospective Analysis Cover

Figures & Tables

Fig. 1.

Flowchart of patients’ characteristics

Table 1.

General characteristics measured before and after treatment (N = 124 patients)

WeekdayWeekendTotalp-value
Frequency (n)Percent (%)Frequency (n)Percent (%)Frequency (n)Percent (%)
Presentation10483.872016.13124100.00< 0.01
GenderMen7184.521315.488467.74< 0.01
Women3382.50717.504032.26< 0.01
Before Operation
  Hemopericardium3485.00615.004032.260.09
  Cardiac tamponade372.22527.781814.51< 0.01
  Cardiogenic shock1184.61215.381310.480.07
  Cardiac arrest0-210.0021.610.02
  Mortality before surgery975.00325.00129.68< 0.01
  Anticoagulation therapy32.420-32.42< 0.01
  Antiplatelet therapy1789.47210.531915.320.07
After Operation
  Ascending aorta replacement6384.001216.007560.48< 0.01
  Hemiarch replacement1090.9119.09118.87< 0.01
  Aortic valve replacement2187.50312.502419.350.09
  RCA reimplantation777.78222.2297.26< 0.01
  LCA reimplantation675.00225.0086.45< 0.01
  LAD bypass4100.000-43.230.06
  RCA bypass685.71114.2975.650.07
  Bentall procedure571.43228.5775.65< 0.01

[i] RCA, right coronary artery; LCA, left coronary artery; LAD, left anterior descending artery.

Table 2.

Admission timing laboratory data of patients with Stanford A dissection

MeanMinimumMaximumStd. deviation
Age62.53178612.866
LVEF (%)51.0506010.434
Creatinine level (mg/dL)1.250.596.690.789
eGFR (mL/min/1.73 m2)71.307.9216.623.418
GOT (U/L)79.8210.02638.0289.399
GPT (U/L)71.136.02067.0240.204
Hemoglobin (g/dL)12.505.426.12.601
Thrombocytes (103/μL)224.9220.7996.0122.128
Leukocytes (103/μL)11.332.024.44.838

[i] LVEF: left ventricular ejection fraction; eGFR: estimated glomerular filtration rate; GOT: glutamic oxaloacetic transaminase; GPT: glutamic pyruvic transaminase.

Table 3.

Mortality before surgery

Total presentNo. of death eventsPercentp-value
Log rank (Mantel–Cox)Breslow (generalized Wilcoxon)Tarone–Ware
Weekend20315.000.2720.1960.234
Weekday10498.65
Fig. 2.

Kaplan–Meier representation of in-hospital mortality.

Table 4.

In-hospital mortality

Total presentNo. of death eventsPercentMeanp-value
EstimateStd. error95% confidence intervalLog rank (Mantel–Cox)Breslow (generalized Wilcoxon)Tarone–Ware
Lower boundUpper bound
Weekend20525.0018.1385.3507.65328.6230.2600.2090.232
Weekday1045250.0015.8061.59912.67118.941
Table 5.

Discharge mortality

Total presentNo. of death eventsPercentMeanp-value
EstimateStd. error95% confidence intervalLog rank (Mantel–Cox)Breslow (generalized Wilcoxon)Tarone–Ware
Lower boundUpper bound
Weekend2015.0034.0000.00134.00034.0000.7290.3420.369
Weekday104109.6129.4561.91225.71033.203
DOI: https://doi.org/10.2478/jccm-2024-0014 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 158 - 167
Submitted on: Nov 22, 2023
Accepted on: Mar 18, 2024
Published on: Apr 30, 2024
Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Cosmin Marian Banceu, Marius Harpa, Klara Brinzaniuc, Nicolae Neagu, Dan Alexandru Szabo, Diana Mariana Banceu, Hussam Al Hussein, Daiana Cristutiu, Alexandra Puscas, Alexandru Stan, Marvin Oprean, Adrian Popentiu, Marius Neamtu Halic, Horatiu Suciu, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.