{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T13:14:31Z","timestamp":1789132471840,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,11,26]],"date-time":"2022-11-26T00:00:00Z","timestamp":1669420800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiology Research and Practice"],"published-print":{"date-parts":[[2022,11,26]]},"abstract":"<jats:p>Background\/Aim. Despite technological advances in diagnosis and treatment, in-hospital mortality with acute aortic dissection type B is still about 11%. The purpose of this study was to assess the risk factors for early and long-term adverse outcomes in patients with acute aortic dissection type B treated medically or with conventional open surgery. Methods. The present study included 104 consecutive patients with acute aortic dissection type B treated in our Center from January 1st, 1998 to January 1st, 2007. Patient demographic and clinical characteristics as well as in-hospital complications were reviewed. Univariate and multivariate testing was performed to identify the predictors of in-hospital (30-day) and late (within 9 years) mortality. Results. 92 (88.5%) patients were treated medically, while 12 (11.5%) patients with complicated acute aortic dissection type B were treated by open surgical repair. In-hospital complications occurred in 35.7% patients, the most often being acute renal failure (28%), hypotension\/shock (24%), mesenteric ischemia (12%), and limb ischemia (8%). The in-hospital mortality rate was 15.7% and the 9-year mortality rate was 51.9%. Independent predictors of early mortality in patients with acute aortic dissection type B were uncontrolled hypertension (HR-20.69) and a dissecting aorta diameter &gt;4.75\u2009cm (HR-6.30). Independent predictors of late mortality were relapsing pain (HR-7.93), uncontrolled hypertension (HR-7.25), and a pathologic difference in arterial blood pressure (&gt;20\u2009mmHg) (HR-5.33). Conclusion. Knowledge of key risk factors may help with a better choice of treatment and mortality reduction in acute aortic dissection type B patients.<\/jats:p>","DOI":"10.1155\/2022\/7869356","type":"journal-article","created":{"date-parts":[[2022,11,26]],"date-time":"2022-11-26T21:57:26Z","timestamp":1669499846000},"page":"1-7","source":"Crossref","is-referenced-by-count":16,"title":["Early and Late Mortality Predictors in Patients with Acute Aortic Dissection Type B"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9033-5995","authenticated-orcid":true,"given":"Ratko M.","family":"Lasica","sequence":"first","affiliation":[{"name":"Emergency Hospital, University Clinical Center Serbia, Pasterova 2, Belgrade 11000, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jovan P.","family":"Perunicic","sequence":"additional","affiliation":[{"name":"Emergency Hospital, University Clinical Center Serbia, Pasterova 2, Belgrade 11000, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dejana R.","family":"Popovic","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University Clinical Center Serbia, Visegradska 26, Belgrade 11000, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor B.","family":"Mrdovic","sequence":"additional","affiliation":[{"name":"Emergency Hospital, University Clinical Center Serbia, Pasterova 2, Belgrade 11000, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross A.","family":"Arena","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, College of Applied Health Sciences, University of Illinois Chicago, 1200W Harrison St, Chicago, IL 60607, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nebojsa L.","family":"Radovanovic","sequence":"additional","affiliation":[{"name":"Emergency Hospital, University Clinical Center Serbia, Pasterova 2, Belgrade 11000, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina R.","family":"Radosavljevic-Radovanovic","sequence":"additional","affiliation":[{"name":"Emergency Hospital, University Clinical Center Serbia, Pasterova 2, Belgrade 11000, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8841-8724","authenticated-orcid":true,"given":"Lazar D.","family":"Djukanovic","sequence":"additional","affiliation":[{"name":"Emergency Hospital, University Clinical Center Serbia, Pasterova 2, Belgrade 11000, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milika R.","family":"Asanin","sequence":"additional","affiliation":[{"name":"Emergency Hospital, University Clinical Center Serbia, Pasterova 2, Belgrade 11000, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu281"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.2147\/vhrm.s4205"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.112.000483"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1378\/chest.117.5.1271"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.7.897"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.gheart.2013.12.010"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.gheart.2013.12.009"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/s0735-6757(00)90047-0"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2012.03.009"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1093\/ejechocard\/jeq056"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1093\/ejechocard\/jeq057"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht334"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2012.11.005"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1053\/svas.2002.33439"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.106.622340"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1536\/ihj.47.585"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1136\/heart.88.6.640"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000027568.39540.4b"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.1999.1739"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.01.042"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1016\/s1010-7940(02)00203-8"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.05.029"},{"key":"23","first-page":"265","article-title":"Clinical manifestations of aortic dissection","volume":"4","author":"I. 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