Organ management after surgical repair of acute type A aortic dissection guided by sequential organ failure assessment maximum
Zhang Xuan
Zhang Xiwei
Abstract：Objective To explore the independent correlation between sequential organ failure assessment maximum(SOFA Maximum)≥ 11 and heart,brain,lung,kidney and liver dysfunction at 30 d after acute type A aortic dissection(ATAAD)repair,and to evaluate the sensitivity and independence of SOFA Maximum in guiding organ care after ATAAD repair.Methods A total of 114 patients with ATAAD who underwent surgical repair in Beijing Anzhen Hospital,Capital Medical University from August to December 2023 were retrospectively selected.Multiple Logistic regression was used to explore the independent correlation between SOFA Maximum≥11 and the representative end point of organ dysfunction at 30 d after ATAAD repair.Results SOFA Maximum ≥ 11 was independently associated with cardio-cerebral insufficiency(major cardiovascular and cerebrovascular adverse events),pulmonary insufficiency(postoperative pulmonary complications),renal insufficiency(acute kidney injury/failure),and liver insufficiency(acute liver injury/failure)at 30 d after ATAAD repair(odds ratio=5.61,3.94,9.44,2.89,respectively,allP＜0.05).Conclusion SOFA Maximum≥ 11 has good independence and sensitivity in guiding organ nursing after ATAAD repair.In the future,SOFA Maximum≥ 11 will be included in the standardized perioperative management system of ATAAD repair,which has broad application prospects.
Keywords：Acute type A aortic dissectionSequential organ failure assessment maximumOrgan dysfunctionOrgan management after aortic surgery
Publication Date：2024-07-08
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 996-1000 )