Diabetes does not increase in-hospital or short-term mortality in patients undergoing surgical repair for type A aortic dissection: insight from the national readmission database
Authors' conclusion
Diabetes does not increase in-hospital or short-term mortality in patients undergoing surgical repair for Type A aortic dissection.
Study context
- Population
- Patients admitted for open surgical repair of acute type A aortic dissection (TAAD), US Nationwide Readmission Database 2016–2019; those discharged alive followed up to 30 days
- Participants
- 7,324 patients
- Exposure
- Diabetes vs no diabetes
- Diabetesn = 965
- Outcome
- Co-primary: in-hospital mortality and 30-day mortality
- Follow-up
- In-hospital; 30 days
Methodological detailsUS Nationwide Readmission Database 2016-2019
- US Nationwide Readmission Database 2016-2019
Main finding
As reported in the abstract
In-hospital mortality
Diabetes vs Non-diabetesEstimate (CI)
In-hospital mortality
aOR 1.02(0.84–1.24)
30-day mortality; no significant difference
aHR 0.81(0.41–1.60)
Observational data: associations, not effects.
Further findings
| Outcome | aOR (CI) | |
|---|---|---|
| AF · in-hospital | 1.03 (0.89–1.20) | |
| Stroke · in-hospital | 0.83 (0.55–1.26) | |
| Cardiogenic shock · in-hospital | 1.18 (0.98–1.42) | |
| Acute renal failure · in-hospitalIncreased risk with diabetes | 1.20 (1.04–1.39) | |
| 0.512Adjusted odds ratio (log scale) |
30-day readmission · 30 days after discharge · lower risk of readmission with diabetes
aHR 0.81 (0.68–0.97)
Respiratory-related causes of readmission
P = 0.032
Predictors of outcomes
- Chronic kidney disease (CKD) most significant predictor of 30-day mortality; risk in patients with diabetes (HR)
- 5.58 [2.58-6.62]
- Age was the most significant predictor of all outcomes
Respiratory-related causes of readmission
- Cardiovascular-related conditions were the most common causes of readmission in both groups
Original publication
Diabetes does not increase in-hospital or short-term mortality in patients undergoing surgical repair for type A aortic dissection: insight from the national readmission database. Cardiovasc Diabetol. Published 6 December 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →