Table 4

The association with long-term mortality of different pharmacological agents, age, sex and index year in patients discharged and alive at 30 days after hospitalisation for acute aortic dissection, analysed with Cox proportional hazards models

Total at start,
n (%)
Crude
HR (95% CI)
Adjusted
HR (95% CI)
(A)
Men1948 (64)11
Women1098 (36)1.31 (1.13 to 1.51)0.99 (0.86 to 1.15)
Age categories
 18–49306 (10)11
 50–59532 (17)1.54 (0.92 to 2.56)1.57 (0.94 to 2.64)
 60–69932 (31)3.10 (1.94 to 4.90)3.02 (1.89 to 4.92)
 70–79803 (26)6.32 (4.10 to 10.10)5.99 (3.77 to 9.51)
 80–99473 (16)16.40 (10.40 to 25.88)13.60 (8.54 to 21.66)
Index year
 2005–20101416 (47)11
 2011–20151630 (53)0.87 (0.74 to 1.04)0.92 (0.78 to 1.10)
Any antihypertensive
 No107 (4)11
 Yes2939 (96)0.57 (0.41 to 0.79)0.56 (0.43 to 0.84)
Statin
 No1628 (53)11
 Yes1418 (47)0.71 (0.61 to 0.82)0.74 (0.63 to 0.87)
Anticoagulant
 No2362 (77)11
 Yes684 (23)0.80 (0.67 to 0.96)0.83 (0.68 to 1.03)
Antiplatelet therapy
 No1622 (53)11
 Yes1424 (47)1.07 (0.92 to 1.23)1.03 (0.87 to 1.20)
(B)
Beta blocker
 No305 (10)11
 Yes2741 (90)0.60 (0.49 to 0.75)0.82 (0.66 to 1.03)
Calcium channel blocker
 No755 (25)11
 Yes2291 (75)0.73 (0.63 to 0.86)0.81 (0.68 to 0.96)
ACE inhibitor
 No1494 (49)11
 Yes1552 (51)0.81 (0.71 to 0.94)0.81 (0.70 to 0.95)
ARB
 No2153 (71)11
 Yes893 (29)0.71 (0.61 to 0.85)0.76 (0.63 to 0.92)
Diuretic
 No944 (31)11
 Yes2102 (69)1.13 (0.97 to 1.32)1.23 (1.03 to 1.47)
  • All multivariable Cox proportional hazards models were adjusted for age, sex, index year, concomitant disorders (hypertension, ischaemic heart disease, heart failure, atrial fibrillation, ischaemic stroke, peripheral arterial disease, kidney failure and diabetes) and all other listed pharmacological groups in each specific analysis.

  • In part A, antihypertensive medication is presented as one single variable, whereas in part B, the different antihypertensive drugs were analysed separately

  • ARB, angiotensin II receptor blocker.