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Iranian Journal of Public Health، جلد ۴۲، شماره ۱۰، صفحات ۱۰۸۵-۱۰۹۱
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عنوان انگلیسی A Simple Emergency Prediction Tool for Acute Aortic Dissection.
چکیده انگلیسی مقاله A simple emergency risk prediction tool should be developed for clinicians to quickly identify the prognosis of patients with acute aortic dissection.We enrolled 280 patients with acute aortic dissection admitted to emergency department between May 2010 and February 2013. Multivariate logistic regression analysis was performed to identify independent predictors of in-hospital death.The in-hospital mortality of our patients with acute aortic dissection was 32.5%, in-hospital deaths with surgery less than the survived (34.1% VS 54.5%). Multivariate analysis identified that age (≥65 years old), Type A, blood pressure (mean systolic blood pressure ≤ 90 mmHg), neutrophil percentage (≥ 80%) and serum D-dimer (≥ 5.0 mg/L) were significant predictors of death. With the simple emergency risk prediction tool, scores of all in-hospital deaths were ≥ 3, whereas almost all of the survivors (97.9%) had scores < 15. A score of 10 offered the best threshold value, with the highest sensitivity (81.3%) and specificity (86.8%).The in-hospital mortality rate of patients with acute aortic dissection is high and can be predicted. Early surgery would be beneficial for in-hospital survive. This tool should be available for clinicians in the emergency department to quickly identify the prognosis of patients with acute aortic dissection.
کلیدواژه‌های انگلیسی مقاله Acute aortic dissection,Prediction,Risk factors
نویسندگان مقاله wen peng | wen peng
1. dept. of emergency, the second xiangya hospital of central south university , china.


qing yi zhu | qing yi zhu
2. dept. of cardiovascular, the second xiangya hospital of central south university , china.


xiang hong zhou | xiang hong zhou
1. dept. of emergency, the second xiangya hospital of central south university , china.


xiang ping چای | xiang ping chai
1. dept. of emergency, the second xiangya hospital of central south university , china.
نشانی اینترنتی http://ijph.tums.ac.ir/index.php/ijph/article/view/4403
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