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Acute aortic dissection (AAD) in the elderly.
MedLine Citation:
PMID:  23276373     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
AAD is a relatively uncommon yet catastrophic disease. Though the relationship between AAD and age has been discussed in several previous studies, many facets of the relationship between AAD and the elderly still remain unclear. From a retrospective review of charts from January 1, 2005 to December 31, 2010, we collected data of 132 spontaneous AAD cases in a medical center in Taiwan, 83 of which were enrolled in our study. We divided patients into two groups: one above 65 years old (elderly), and a second, non-elderly group. Data collected for statistical analysis included: clinical manifestations on arrival, time of onset, type of AAD, width of mediastinum, whether or not the patient underwent an operation, number of days spent hospitalized, and in-hospital mortality rates. We found that in the elderly group there were more instances of hyperglycemia (p=0.0001), more neurologic defects (p=0.001), less chest pain (p=0.001), and less abdominal pain (p=0.003). SBP was also lower in the elderly group (139±48mmHg, p=0.0001), while there was no difference in mediastinal width between these two groups. In both groups, most AAD cases were DeBakey type III, but type I AAD was more commonly seen in the elderly (p=0.0011). We found that there were both lower SBP and higher rate of diabetes in the elderly group. The elderly group also had longer hospital stays (14.6±16.3 days, p=0.0001) and almost twice the mortality rate (31.1% vs. 15.8%, p=0.0001).
Authors:
Yu-Hang Yeh; Yu-Jang Su; Che-Hung Liu
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-28
Journal Detail:
Title:  Archives of gerontology and geriatrics     Volume:  -     ISSN:  1872-6976     ISO Abbreviation:  Arch Gerontol Geriatr     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2013-1-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8214379     Medline TA:  Arch Gerontol Geriatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Emergency Medicine, Zhongxing Branch, Taipei City Hospital, Taipei, Taiwan; Department of Emergency Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
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