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. 2023 Jul 31;9(3):178-186.
doi: 10.2478/jccm-2023-0024. eCollection 2023 Jul.

The Gender Gap in Aortic Dissection: A Prospective Analysis of Risk and Outcomes

Cosmin Banceu  1   2   3 , Marius Harpa  1   3 , Klara Brinzaniuc  1 , Ioan Tilea  1 , Andreea Varga  1 , Mirela Liana Gliga  1 , Septimiu Voidazan  1   3 , Nicolae Neagu  1 , Dan Alexandru Szabo  1 , Diana Banceu  4 , Daiana Cristutiu  3 , Ionut Alexandru Balmos  1 , Alexandra Puscas  1   3 , Marvin Oprean  4 , Horatiu Suciu  1   3
Affiliations

The Gender Gap in Aortic Dissection: A Prospective Analysis of Risk and Outcomes

Cosmin Banceu et al. J Crit Care Med (Targu Mures). .

Abstract

Aortic dissection (AD) is a severe cardiovascular condition that could have negative consequences. Our study employed a prospective design and examined preoperative, perioperative, and postoperative data to evaluate the effects of gender on various medical conditions. We looked at how gender affected the results of aortic dissection (AD). In contrast to female patients who had more systemic hypertension (p=0.031), male patients had higher rates of hemopericardium (p=0.003), pulmonary hypertension (p=0.039), and hemopericardium (p=0.003). Dobutamine administration during surgery significantly raised the mortality risk (p=0.015). There were noticeably more women patients (p=0.01) in the 71 to 80 age group. Significant differences in age (p=0.004), eGFR at admission (p=0.009), and eGFR at discharge (p=0.006) were seen, however, there was no association between gender and mortality. In conclusion, our findings highlight that gender may no longer be such an important aspect of aortic dissection disease as we previously thought, and this information could have an important contribution for surgeons as well as for anesthesiologists involved in the management of acute aortic dissection.

Keywords: Stanford type A acute aortic dissection; aortic dissection; gender gap; in-hospital mortality; risk factors.

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Conflict of interest statement

Conflicts of interest None to declare

Figures

Fig. 1.
Fig. 1.
In-hospital mortality survival rate based on gender interpretation.
See this image and copyright information in PMC

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