The Significance of Platelet Count in Short-Term Prognosis of Type B Acute Aortic Dissection Patients

Wenming Shao, Zengxi Yao, Ya-jun Jiang
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Abstract

Background: The lower number of platelet (PLT) has been found to be a risk factor in patients with type A acute aortic dissection (AAD) In admission. However prognostic implications of the PLT count in the type B AAD patients has not yet been elucidated. Methods: We consecutively enrolled 81 patients which confirmed with type B. Patients were divided into survival group and death group and PLT count were measured on admission. Univariate analysis and multiple logistic regression analysis were used to identify the predictors of in-hospital mortality. Results: Compared with the survival group, the death group PLT count was significant lower (172.07±57.38×109/L vs. 227.13±75.97×109/L, P 179.5 × 109 / L) and the low PLT count group (<179.5 × 109 / L) (P=0.001). Conclusions: Low PLT on admission count is one of the specific dead risk factors for type B AAD in-hospital patients.
血小板计数在B型急性主动脉夹层患者短期预后中的意义
背景:在a型急性主动脉夹层(AAD)患者入院时,血小板(PLT)数量较低已被发现是一个危险因素。然而,PLT计数对B型AAD患者预后的影响尚未阐明。方法:连续入组81例确诊为b型的患者,将患者分为生存组和死亡组,入院时测定血小板计数。采用单因素分析和多元logistic回归分析确定住院死亡率的预测因素。结果:与生存组比较,死亡组PLT计数显著低于生存组(172.07±57.38×109/L vs. 227.13±75.97×109/L, P <179.5 ×109/L)和低PLT计数组(<179.5 ×109/L) (P=0.001)。结论:低PLT入院数是B型AAD住院患者特异性死亡危险因素之一。
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