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

Figures & Tables

Fig. 1.

Flowchart of patients’ characteristics

Fig. 2.

Kaplan–Meier representation of in-hospital mortality.

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

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

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

WeekdayWeekendTotalp-value

Frequency (n)Percent (%)Frequency (n)Percent (%)Frequency (n)Percent (%)
Presentation 10483.872016.13124100.00< 0.01
GenderMen7184.521315.488467.74< 0.01
Women3382.50717.504032.26< 0.01

Before Operation
  Hemopericardium 3485.00615.004032.260.09
  Cardiac tamponade 372.22527.781814.51< 0.01
  Cardiogenic shock 1184.61215.381310.480.07
  Cardiac arrest 0-210.0021.610.02
  Mortality before surgery 975.00325.00129.68< 0.01
  Anticoagulation therapy 32.420-32.42< 0.01
  Antiplatelet therapy 1789.47210.531915.320.07

After Operation
  Ascending aorta replacement 6384.001216.007560.48< 0.01
  Hemiarch replacement 1090.9119.09118.87< 0.01
  Aortic valve replacement 2187.50312.502419.350.09
  RCA reimplantation 777.78222.2297.26< 0.01
  LCA reimplantation 675.00225.0086.45< 0.01
  LAD bypass 4100.000-43.230.06
  RCA bypass 685.71114.2975.650.07
  Bentall procedure 571.43228.5775.65< 0.01

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

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
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Accepted on: Mar 18, 2024
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Published on: Apr 30, 2024
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.