Patients at Risk for Aortic Rupture Often Exposed to Fluoroquinolones during Hospitalization

Author:

Frankel William C.1ORCID,Trautner Barbara W.234,Spiegelman Andrew5,Grigoryan Larissa6,LeMaire Scott A.789

Affiliation:

1. Baylor College of Medicine, Houston, Texas, USA

2. Houston VA Center for Innovations in Quality, Effectiveness, and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA

3. Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA

4. Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA

5. Advisory Board Company, Washington, DC, USA

6. Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas, USA

7. Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA

8. Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas, USA

9. Cardiovascular Research Institute, Baylor College of Medicine, Houston, Texas, USA

Abstract

Several studies have indicated that fluoroquinolone use may be associated with an increased risk of aortic aneurysm or dissection (AAD). Because patients with AAD or Marfan syndrome are at increased risk for aortic rupture, we performed a retrospective cohort study to determine the prevalence of systemic fluoroquinolone exposure and predictors of fluoroquinolone use in these patients.

Funder

Center for Innovations in Quality, Effectiveness and Safety

Jimmy and Roberta Howell Professorship in Cardiovascular Surgery

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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