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Table 4 Comparison of population with and without postoperative hyper-inflammation

From: Postoperative hyper-inflammation as a predictor of poor outcomes in patients with acute type A aortic dissection (ATAAD) undergoing surgical repair

Variables

Control (n = 353)

Hyper-inflammation (n = 52)

P value

Age(year)

53.84 ± 13.59

57.06 ± 12.30

0.107

Gender male n (%)

273 (77.34)

37 (71.15)

0.326

BMI(kg/m2)

25.37 (23.32–27.91)

24.83 (22.20–28.53)

0.769

Medical history n (%)

Hypertension

387 (95.56)

338 (95.75)

0.892

Diabetes mellitus

68 (19.26)

12 (23.08)

0.519

COPD

121 (34.28)

22 (42.31)

0.258

Smoking

170 (48.16)

23 (44.23)

0.596

Heavy alcohol drinking

52 (14.73)

6 (11.54)

0.540

Liver diseases

13 (3.68)

0 (0.00)

0.325

Marfan syndrome

18 (5.10)

2 (3.85)

0.963

Cerebral infarction

16 (4.53)

1 (1.92)

0.613

Chronic renal failure

4 (1.13)

0 (0.00)

1.000

Ascending aortic diameter (cm)

4.80 (4.40–5.50)

4.90 (4.50–5.53)

0.020

Pre-operative PCT (ng/ml)

0.01 (0.01–0.10)

0.01 (0.01–0.10)

0.877

Pre-operative CRP (mg/L)

3.52 (1.14–7.77)

3.92 (1.14–16.10)

0.596

Pre-operative IL-6 (pg/ml)

34.70 (11.68–52.71)

39.85 (17.40–107.75)

0.063

Pre-operative SII

531.84 (153.00–1400.00)

615.55 (184.46–1400.00)

0.669

Preoperative conditions n (%)

Bowel ischemia

6 (1.70)

1 (1.92)

1.000

Cerebral ischemia

32 (9.07)

10 (19.23)

0.025

Limb ischemia

36 (10.20)

15 (28.85)

 < 0.001

Coronary artery involvement

10 (2.83)

3 (5.77)

0.484

Arch surgery n (%)

0.941

Total arch replacement

235 (66.57)

34 (65.38)

 

Hemi arch replacement

48 (13.60)

8 (15.38)

 

Arch stent

70 (19.83)

10 (19.23)

 

Root surgery n (%)

0.461

Bentall procedure

185 (52.41)

24 (46.15)

 

Wheat’s procedure

81 (22.95)

11 (21.15)

 

Reconstruction

87 (24.65)

17 (32.69)

 

Concomitant CABG n (%)

10 (2.83)

3 (5.77)

0.484

CPB time (min)

163.00 (140.00–196.00)

218.00 (195.50–269.00)

< 0.001

ACC time (min)

134.00 (113.00–168.00)

158.50 (133.75–207.50)

< 0.001

DHCA time (min)

32.00 (25.00–41.00)

46.00 (38.00–56.25)

< 0.001

PCT on POD1 (ng/ml)

3.04 (2.03–5.48)

6.34 (3.57–6.90)

< 0.001

CRP on POD1 (mg/L)

79.00 (44.00–113.00)

104.00 (69.00–125.50)

< 0.001

IL-6 on POD1 (pg/ml)

154.70 (54.62–253.52)

438.86 (329.28–1039.78)

< 0.001

SII on POD1

2698.75 (1516.67–4891.25)

1259.13 (714.77–1692.67)

< 0.001

Death

27 (7.65)

16 (30.77)

< 0.001

  1. Median (Interquartile range); BMI Body mass index, COPD Chronic obstructive pulmonary disease, PCT Procalcitonin, CRP C-reactive protein, IL-6 Interleukin-6, SII Systemic immune-inflammation index, CABG Coronary artery bypass graft, CPB Cardiopulmonary bypass, ACC Aortic cross-clamp, DHCA Deep hypothermia circulatory arrest