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ISSN 2078-7170 (Electronic)

2014, Number 2

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CorSalud 2014; 6 (2)

Behavior of mortality due to aortic dissection in Cuba

Valdés DO, Hurtado MAJ, Montero GTJ, Álvarez SR, de Arazoza HA, Chao GJL

Language: Spanish
References: 45
Page: 140-147
PDF size: 473.96 Kb.


ABSTRACT

Introduction: Aortic dissection is a disease of poor prognosis, with a high mortality rate, even when it is diagnosed early and the adequate surgery is performed.
Objectives: To describe some characteristics of the patients who died due to aortic dissection in Cuba.
Method: A retrospective cross-sectional study was conducted. It included 888 deceased patients with a diagnosis of aortic dissection, who were registered in the Automated Registration and Control System of Anatomical Pathology (SARCAP, for its acronym in Spanish) in Cuba, from 1962 to 2004.
Results: The age groups from 65 to 74 and from 75 to 84 years predominated, with 266 (30.0%) and 210 (23.6%) deaths, respectively. The largest number of deaths [496 (55.9%)] occurred in the first 24 hours. Stanford type A aortic dissection was the most frequent type [535 diagnoses were made (61.1%)]. The most common underlying cause of death was aortic dissection itself (61.6 %) and the most common direct cause of death was hemopericardium (43.9%). The rate of diagnostic agreement was 33.5 % in the underlying cause and 28.8 % in direct cause.
Conclusions: During the 42 years covered by the study, the patients who died from aortic dissection in Cuba predominantly had Stanford type A dissections, were over 55 years of age and had a hospital stay of less than 2 months. The largest number of deaths occurred in the first 24 hours and the rate of diagnostic agreement was low.


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