Key result
Patients who died during the hospital stay following thoracoabdominal aortic aneurysm repair had significantly lower pre-interventional zinc levels compared to survivors (45.92 µg/dl vs 60.09 µg/dl).
Why the study?
Thoracoabdominal aortic aneurysm repair carries relevant morbidity and in-hospital mortality, prompting investigation into the relationship between pre-interventional zinc levels and patient outcomes.
Do low pre-interventional serum zinc levels correlate with increased in-hospital mortality and worse intensive care scores in patients undergoing TAAA repair?
Observational (n=33)
No
Do low pre-interventional serum zinc levels correlate with increased in-hospital mortality and worse intensive care scores in patients undergoing TAAA repair?
Decreased pre-interventional serum zinc levels are associated with higher in-hospital mortality and worse postoperative intensive care scores in patients undergoing thoracoabdominal aortic aneurysm repair.
Thoracoabdominal aortic aneurysm (TAAA) repair is related to a relevant morbidity and in-hospital mortality rate. In this retrospective observational single-center study including serum zinc levels of 33 patients we investigated the relationship between zinc and patients' outcome following TAAA repair. Six patients died during the hospital stay (18%). These patients showed significantly decreased zinc levels before the intervention (zinc levels before intervention: 60.09 µg/dl [survivors] vs. 45.92 µg/dl [non-survivors]). The post-interventional intensive care SOFA-score (Sepsis-related organ failure assessment) (at day 2) as well as the SAPS (Simplified Acute Physiology Score) (at day 2) showed higher score points in case of low pre-interventional zinc levels. No significant correlation between patient comorbidities and zinc level before intervention, except for peripheral arterial disease (PAD), which was significantly correlated to reduced baseline zinc levels, was observed. Septic shock, pneumonia and urinary tract infections were not associated to reduced zinc levels preoperatively as well as during therapy. Patients with adverse outcome after TAAA repair showed reduced pre-interventional zinc levels. We speculate that decreased zinc levels before intervention may be related to a poorer outcome because of poorer physical status as well as negatively altered perioperative inflammatory response.
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Rolles et al. (2021) conducted an observational in Thoracoabdominal aortic aneurysm (TAAA) (n=33). Decreased pre-interventional zinc plasma levels vs. Normal/higher pre-interventional zinc levels was evaluated on Pre-interventional zinc levels in non-survivors vs survivors (p=0.0154). Patients who died during the hospital stay following thoracoabdominal aortic aneurysm repair had significantly lower pre-interventional zinc levels compared to survivors (45.92 µg/dl vs 60.09 µg/dl).
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