The Diagnostic Value of Combined Prediction Model for Acute Type A Aortic Dissection Rupture

Zhengmei ZI; Li HAO; Nan WANG; Guobing CHEN

doi:10.12259/j.issn.2095-610X.S20230128

Volume 44 Issue 1

Jan. 2023

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Zhengmei ZI, Li HAO, Nan WANG, Guobing CHEN. The Diagnostic Value of Combined Prediction Model for Acute Type A Aortic Dissection Rupture[J]. Journal of Kunming Medical University, 2023, 44(1): 35-40. doi: 10.12259/j.issn.2095-610X.S20230128

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Zhengmei ZI, Li HAO, Nan WANG, Guobing CHEN. The Diagnostic Value of Combined Prediction Model for Acute Type A Aortic Dissection Rupture[J]. Journal of Kunming Medical University, 2023, 44(1): 35-40. doi: 10.12259/j.issn.2095-610X.S20230128

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The Diagnostic Value of Combined Prediction Model for Acute Type A Aortic Dissection Rupture

doi: 10.12259/j.issn.2095-610X.S20230128

1.
Dept. of Internal Emergency，The 1st People’s Hospital of Yunnan，Kunming Yunnan 650034
2.
Dept. of Emergency，Yan’an Hospital of Kunming，Kunming Yunnan 650051，China

Received Date: 2022-11-05
Available Online: 2022-12-23
Publish Date: 2023-01-18

Abstract

Abstract

Objective To create a combined model and explore its value in predicting the rupture risk of acute type A aortic dissection （ATAAD）. Methods The relevant data and the first cTn-I value of the ATAAD patients admitted and treated in a tertiary hospital from September 2018 to December 2020 were collected and analyzed retrospectively. The patients were divided into the dead group according to whether they died after admission （n = 44） and the survival group （n = 109）. The general data and cTn-I value of the two groups were compared, and a binary logistic regression analysis was used to explore the risk factors related to the in-hospital rupture of ATAAD. Results There were significant differences in syncope, WBC > 15×10⁹/L, pericardium, and periaortic hematoma between the two groups （P < 0.05）, but no significant differences in other aspects （P > 0.05）. There was significant difference in cTn-I value between the two groups （P < 0.05）. Syncope, WBC > 15×10⁹/L, pericardium, periaortic hematoma and cTn-I were included in binary logistic regression analysis. The results showed that there were significant differences in the multivariate analysis of pericardium, periaortic hematoma, and cTn-I value. The combined model created by combining the above factors predicted the AUC of ATAAD rupture was 0.859 （P < 0.05）. Conclusion The joint prediction model has the prediction performance.
- Acute type A aortic dissection,
- Joint prediction model,
- Rupture

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References(20)

References

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