ArticleJournal of the American Heart Association2019
Hospital Incidence and In-Hospital Mortality of Surgically and Interventionally Treated Aortic Dissections: Secondary Data Analysis of the Nationwide German Diagnosis-Related Group Statistics From 2006 to 2014.
Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Central and peripheral arterial diseases in chronic kidney disease: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference.Kidney international · 2021Guideline
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- Causal relationship between serum metalloproteinase 12 levels and aortic dissection and aortic aneurysm: a bidirectional Mendelian randomization study.Journal of thoracic disease · 2025Article
- Impact of perioperative organ injury on morbidity and mortality in 28 million surgical patients.Nature communications · 2025Article
- Nationwide mortality following acute type B aortic dissection and the survival advantage of obesity among dialysis patients in Japan.Journal of nephrology · 2025Article
- Sex disparities in the risk of urgent dialysis following acute aortic dissections in Japan.iScience · 2024Article
- Association of triglyceride-glucose index with the risk of incident aortic dissection and aneurysm: a large-scale prospective cohort study in UK Biobank.Cardiovascular diabetology · 2024Article
- Limited vs. Extended Resection of Stanford Type A Acute Aortic Dissections.Medicina (Kaunas, Lithuania) · 2024Article
- Modelling years of life lost due to acute type A aortic dissection in the German healthcare setting: a predictive study.BMJ open · 2024Article
- Predictive value of preoperative platelet count and D-dimer levels for spinal cord injury following acute type a aortic dissection.Journal of cardiothoracic surgery · 2024Article
- A Comprehensive Retrospective Study on the Mechanisms of Cyclic Mechanical Stretch-Induced Vascular Smooth Muscle Cell Death Underlying Aortic Dissection and Potential Therapeutics for Preventing Acute Aortic Aneurysm and Associated Ruptures.International journal of molecular sciences · 2024Review
- Consensus statement on the interhospital transfer of patients with acute aortic syndrome: TRAVERSING Delphi study.Emergency medicine journal : EMJ · 2024Article
- Male-Female Differences in Acute Type B Aortic Dissection.Journal of the American Heart Association · 2024Article
- Patterns in acute aortic dissection and a connection to meteorological conditions in Germany.PloS one · 2024Article
- Traumatic Aortic Dissection as a Unique Clinical Entity: A Single-Center Retrospective Study.Journal of clinical medicine · 2023Article
- Sex Differences in DeBakey Type I/II Acute Aortic Dissection Outcomes: The Tokyo Acute Aortic Super-network.JACC. Advances · 2023Article
- Establishing and Validating a Morphological Prediction Model Based on CTA to Evaluate the Incidence of Type-B Dissection.Diagnostics (Basel, Switzerland) · 2023Article
- Long-Term Outcomes in Thoracic Endovascular Aortic Repair for Complicated Type B Aortic Dissection or Intramural Hematoma Depending on Proximal Landing Zone.Journal of clinical medicine · 2023Article
- Seasonal and daily variations in the occurence and outcomes of acute Stanford type A dissections: a retrospective single-center study.Journal of cardiothoracic surgery · 2023Article
- Morbid obesity impacts mortality among inpatients with type a aortic dissection: an analysis of the national inpatient sample.Journal of cardiothoracic surgery · 2023Article
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Abstract
Background Population-based data about the incidence and mortality of patients with aortic dissections ( ADs ) are sparse. Therefore, the hospital incidence and in-hospital mortality of patients undergoing open or endovascular surgery for type A ADs ( TAADs ) and type B ADs ( TBADs ) in Germany were analyzed on a nationwide basis between 2006 and 2014. Methods and Results A secondary data analysis of the nationwide diagnosis-related group statistics, compiled by the German Federal Statistical Office, was performed for patients who were surgically/interventionally treated for AD ( International Classification of Diseases, Tenth Revision, German Modification [ ICD -10- GM] codes I71.00-I71.07; n=20 533). By using specific procedure codes, a distinction between TAAD (n=14 911/72.6%) and TBAD (n=5622/27.4%) could be made. The standardized hospital incidence of surgically/interventionally treated AD was 2.7/100 000 per year, comprising 2.0/100 000 per year for TAAD and 0.7/100 000 per year for TBAD . The in-hospital mortality of TAAD was 19.5%; and of TBAD, 9.3%. Both the incidence and in-hospital mortality increased over the 9-year period. The share of endovascularly treated TBAD increased steadily during the same time interval. A multilevel multivariable analysis revealed that, for TAAD , age and comorbidity were significantly associated with a higher mortality risk. The latter was also true for TBAD . Sex was not significantly associated with mortality. A significant association between higher annual center volume and mortality was found for TAAD , but not for TBAD . Conclusions This is the first report on hospital incidence and mortality for surgically/interventionally treated AD on a nationwide basis. Overall, in Germany, hospital incidence and mortality of TAAD and TBAD increased over time. In addition, TAAD is performed more safely in high-volume centers.
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