Aortic & peripheral vascular disease
Women With Acute Aortic Dissection Have Higher Prehospital Mortality Than Men
Main finding · AAD incidenceResult — go to the resultIncidence rate ratio 0.94 95% CI 0.74–1.20Authors' conclusion
Women had a higher incidence of AAD presenting as prehospital death than men.
Study context
- Population
- Patients with incident acute aortic dissection (AAD) in a city of 121,180 residents, 2008–2020
- Participants
- 266 patients
- Exposure
- Women vs men with AAD
- Womenn = 137
- Outcome
- AAD incidence by sex
Methodological detailspostmortem CT data
- Postmortem CT data
Main finding
AAD incidence
Incidence rate ratio
0.94
95% CI 0.74–1.20
P = 0.64
By group
Womenvs Men
IRR 0.94 (95% CI 0.74–1.20); P = 0.64
As reported in the abstract
- Crude AAD incidence (/100,000 person-years)
- 16.2
- Age-adjusted AAD incidence (/100,000 person-years)
- 14.3
Observational data: associations, not effects.
Further findings
| Outcome | Women | Men | OR (95% CI) | P value | |
|---|---|---|---|---|---|
| Prehospital mortality | 37% | 21% | 2.24 (1.30–3.87) | P = 0.004 | |
| AAD among OHCA patients (n = 1,373) | 11% | 3.9% | 2.90 (1.86–4.53) | P < 0.001 | |
| 0.20.5125Odds ratio (log scale) |
Age
P < 0.001
Type A AAD
P < 0.001
- AAD among out-of-hospital cardiac arrest (OHCA) patients (n = 1,373) — AAD most common in women aged 60 to 69 years
- 16.4%
Original publication
Women With Acute Aortic Dissection Have Higher Prehospital Mortality Than Men. JACC Adv. Published 3 October 2023. doi:10. 1016/ j. jacadv. 2023. 100623
Composed by AI from the published abstract and checked against it. How Briefs are made →