Aortic & peripheral vascular disease

Operative Mortality After Type A Aortic Dissection Surgery: Differences Based on Sex and Age

JACC AdvPublished Cohort study

Main finding · Operative mortalityResult — go to the resultAdjusted odds ratio 1.334 95% CI 0.918–1.938

Authors' conclusion

Under the age of 55 years, females have similar odds of operative mortality compared with males; however, over the age of 55 years females have higher odds than males.

Study context

Population
Consecutive patients with surgically repaired acute type A aortic dissection (ATAAD), multicentre China 5A study
Participants
5,670 patients
Exposure
Females vs males
  • Femalesn = 1,503
  • Malesn = 4,167reference
Outcome
Operative mortality
Follow-up
30-day
Methodological detailsmulticentre, propensity analyses
  • Multicentre
  • Propensity analyses

Main finding

Operative mortality

Adjusted odds ratio

1.334

95% CI 0.918–1.938

By group

Females vs Males
adjusted OR 1.334 (95% CI 0.918–1.938)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Operative mortality per year of age, by sex — Females · older age, females1.045 (1.029–1.061)
Operative mortality per year of age, by sex — Males · older age, males1.025 (1.016–1.035)
Operative mortality by age <55 vs >55 years (subgroup) — Females vs Males · under 55 years0.852 (0.603–1.205)
Operative mortality by age <55 vs >55 years (subgroup) — Females vs Males · over 55 years1.420 (1.096–1.839)
  • Operative mortality per year of age, by sex: sex × age P interaction = 0.035
  • Operative mortality by age <55 vs >55 years (subgroup): P interaction = 0.019

Original publication

Operative Mortality After Type A Aortic Dissection Surgery: Differences Based on Sex and Age. JACC Adv. Published 14 March 2024. doi:10.1016/j.jacadv.2024.100909

Summarised from the published abstract; every number is checked against it

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