Evidence map›Paper›PMID 36172436›Full record

ArticleJTCVS open2022

Nationwide database analysis of one-year readmission rates after open surgical or thoracic endovascular repair of Stanford Type B aortic dissection.

John A Treffalls, Christopher B Sylvester, Umang Parikh, Rodrigo Zea-Vera, Christopher T Ryan, Qianzi Zhang, Todd K Rosengart, Matthew J Wall, Joseph S Coselli, Subhasis Chatterjee and 1 more

Abstract read
In one paragraph

Article in JTCVS open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  7. Article
  8. Readmission after thoracic endovascular aortic repair following blunt thoracic aortic injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

John A TreffallsMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
Christopher B SylvesterMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
Umang ParikhMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
Rodrigo Zea-VeraMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
Christopher T RyanMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
Qianzi ZhangMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
Todd K RosengartMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
Matthew J WallMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
Joseph S CoselliMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
Subhasis ChatterjeeMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
Ravi K GhantaMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We examined readmissions and resource use during the first postoperative year in patients who underwent thoracic endovascular aortic repair or open surgical repair of Stanford type B aortic dissection. Methods: The Nationwide Readmissions Database (2016-2018) was queried for patients with type B aortic dissection who underwent thoracic endovascular aortic repair or open surgical repair. The primary outcome was readmission during the first postoperative year. Secondary outcomes included 30-day and 90-day readmission rates, in-hospital mortality, length of stay, and cost. A Cox proportional hazards model was used to determine risk factors for readmission. Results: During the study period, type B aortic dissection repair was performed in 6456 patients, of whom 3517 (54.5%) underwent thoracic endovascular aortic repair and 2939 (45.5%) underwent open surgical repair. Patients undergoing thoracic endovascular aortic repair were older (63 vs 59 years; Conclusions: Approximately one-third of all patients with type B aortic dissection were readmitted within 90 days after aortic intervention. Surprisingly, readmission during the first postoperative year was similar in the open surgical repair and thoracic endovascular aortic repair cohorts, despite marked differences in preoperative patient characteristics and interventions.

Indexed as

AHRQ, Agency for Healthcare Research and QualityCI, confidence intervalHR, hazard ratioICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical ModificationIQR, interquartile rangeLOS, length of staynationwide readmissions databaseNRD, Nationwide Readmissions DatabaseOSR, open surgical repairreadmissionsTBAD, type B aortic dissectionTEVAR, thoracic endovascular aortic repairthoracic endovascular aortic repairthoracoabdominal aortic dissectiontype B aortic dissection

Identifiers

PMID36172436
PMCPMC9510909

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.