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Erschienen in: General Thoracic and Cardiovascular Surgery 12/2023

20.06.2023 | Original Article

Prognostic value of TCBI for short-term outcomes in ATAD patients undergoing surgery

verfasst von: Xin Shao, Hao Zhang, Zhiyun Xu, Xilong Lang

Erschienen in: General Thoracic and Cardiovascular Surgery | Ausgabe 12/2023

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Abstract

Objective

Nutritional status has been reported to be associated with the prognosis of cardiovascular diseases. The study aimed to investigate the prognostic value of Triglycerides-total Cholesterol-Body weight-Index (TCBI) for short-term mortality in acute type A aortic dissection (ATAD) patients undergoing surgery.

Methods and results

Totally, the data of 290 ATAD patients undergone surgery were, retrospectively, analyzed. After logistic regression analysis, TCBI was identified as an independent predictor of short-term mortality in ATAD surgery. The development of receive operating characteristic (ROC) curve demonstrated that TCBI (AUC = 0.745, P < 0.001) could provide well prognostic value for short-term mortality. Accordingly, the optimal cut-off value was identified as 883.5 and patients were divided into high TCBI (> 883.5) and low TCBI (≤ 883.5) groups. Furthermore, Kaplan–Meier analysis illustrated that short-term mortality increased significantly in the low TCBI group than in the high TCBI group (P < 0.0001). In addition, the incidence of postoperative renal failure was also elevated in the low TCBI group (P = 0.0011).

Conclusion

Malnutrition by preoperative TCBI presented strong prognostic value for patients following ATAD surgery. And TCBI could be applied for risk stratification and therapeutic strategy-making in ATAD.
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Metadaten
Titel
Prognostic value of TCBI for short-term outcomes in ATAD patients undergoing surgery
verfasst von
Xin Shao
Hao Zhang
Zhiyun Xu
Xilong Lang
Publikationsdatum
20.06.2023
Verlag
Springer Nature Singapore
Erschienen in
General Thoracic and Cardiovascular Surgery / Ausgabe 12/2023
Print ISSN: 1863-6705
Elektronische ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-023-01949-0

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