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Table 4 Postoperative morbidity and mortality

From: Modified hypothermic circulatory arrest for emergent repair of acute aortic dissection type a: a single-center experience

Clinical characteristics & outcomes

DHCA

MHCA

p Value

 

(n=33)

(n=21)

 

In-hospital mortality

9(27.3%)

3(14.3%)

0.329

30-day mortality

11(33.3%)

4(19.0%)

0.253

Re-exploration for bleeding

2(6.1%)

4(19.0%)

0.193

Renal failure-dialysis

5(15.2%)

1(4.8%)

0.386

Pneumonia

19(57.6%)

5(23.8%)

0.015

Tracheotomy

13(39.4%)

2(9.5%)

0.017

Mediastinal infection

3(9.1%)

1(4.8%)

1.000

Sepsis

3(9.1%)

0(0%)

0.282

TND

4(12.1%)

1(4.8%)

0.638

PND

0 (0%)

0(0%)

1.000

Length of ICU stay, days

7.4±4.5

4.5±1.9

0.010

Length of hospital stay, days

18.6±6.2

17.4±5.5

0.556

Mechanical ventilation, hours

141.2±125.4

75.1±68.0

0.035

Red blood cell transfusion, IU

14 .6±8.2

10.3±7.3

0.045

FFP transfusion, ml

2590.9±1479.0

1419.1±1061.5

0.003

Platelet transfusion, IU

1.6±0.9

0.8±1.1

0.007

Drainage during first72h, ml

2040.2±1075.0

1543.8±1071.0

0.116

PaO2/ FiO2Ratio

   

Postoperative day 1

170.0±43.9

163.5±40.7

0.718

Postoperative day 3

177.1±56.3

228.8±79.9

0.017

Lactate (mmol/L)

   

Postoperative 1 hours

9.3±4.9

10.00±4.8

0.410

Postoperative 4 hours

5.9±3.8

5.9±3.4

0.983

Creatinine (umol/L) day 3

249.2±237.7

203.5±178.7

0.480

BUN (umol/L) day 3

25.5±14.6

23.0±13.1

0.538

Total bilirubin (umol/L) day 3

53.9±59.0

35.3±20.2

0.226

ALT (IU/L) day 3

103.2±91.4

102.0±108.0

0.967

AST (IU/L) day 3

97.6±107.7

78.6±70.1

0.502

  1. TND, temporary neurologic dysfunction; PND, permanent neurologic dysfunction; ICU, intensive care unit; BUN, blood urea nitrogen; FFP, fresh frozen plasma; ALT, alanine aminotransferase; AST, aspartate aminotransferase.