Case-control study of factors associated with aortic dissection DeBakey type Ⅲ
10.3969/j.issn.1006-5725.2015.12.009
- VernacularTitle:主动脉夹层DeBakeyⅢ型发生相关因素的临床研究
- Author:
Mengnan GU
;
Jianfang LUO
;
Wenhui HUANG
;
Ling XUE
;
Jiyan CHEN
- Publication Type:Journal Article
- Keywords:
Hypertension;
Aortic dissection;
Albumin;
Associated factors
- From:
The Journal of Practical Medicine
2015;(12):1929-1932
- CountryChina
- Language:Chinese
-
Abstract:
Objectives To investigate the recurrence risk factors and the protective factors of aortic dissection (AD) DeBakey type Ⅲ. Methods 43 patients with AD DeBakey type Ⅲ who were in Guangdong General Hospital from May 2014 to September 2014, were enrolled as the case group, while 27 volunteers exclude AD as the control group. Blood chemistries and other information obtained immediately after admissions , χ2 test or T test was used for univariate analysis of independent samples. Multivariate Logistic regression analysis was used to screen patients with recurrence risk factors or protective factors. Results The prevalence of hypertension (93.02%vs. 18.52%, P = 0.000) and proportion of smokers (34.88% vs. 11.11%, P = 0.027) were significantly higher in case group than control group. Logistic regression analysis showed that hypertension (OR=5.148, 95%CI= [2.209~13.058], P=0.001) and albumin level (OR=0.709, 95%CI = [0.541~0.929], P=0.013) were significantly associated with recurrence of aortic dissection DeBakey type Ⅲ. Conclusion Hypertension is an independent risk factor for recurrence of aortic dissection DeBakey type Ⅲ, and albumin level is a protective factor.