Evidence map›Paper›PMID 36338400›Full record

ArticleJACC. Asia2022

In-Hospital Mortality of Patients With Acute Type A Aortic Dissection Hospitalized on Weekends Versus Weekdays.

Toshiyuki Takahashi, Hideaki Yoshino, Koichi Akutsu, Tomoki Shimokawa, Hitoshi Ogino, Takashi Kunihara, Michio Usui, Kazuhiro Watanabe, Mitsuhiro Kawata, Hiroshi Masuhara and 4 more

Open access · goldAbstract read
In one paragraph

Article in JACC. Asia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. The Weekend Effect on Outcomes for Type A Aortic Dissection Surgery: A Nationwide Analysis.Interdisciplinary cardiovascular and thoracic surgery · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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

14 authors at 2 institutions in 1 country.

Toshiyuki TakahashiTokyo CCU Network Scientific Committee, Tokyo, Japan.
Hideaki YoshinoTokyo CCU Network Scientific Committee, Tokyo, Japan.
Koichi AkutsuTokyo CCU Network Scientific Committee, Tokyo, Japan.
Tomoki ShimokawaTokyo CCU Network Scientific Committee, Tokyo, Japan.
Hitoshi OginoTokyo CCU Network Scientific Committee, Tokyo, Japan.
Takashi KuniharaTokyo CCU Network Scientific Committee, Tokyo, Japan.
Michio UsuiTokyo CCU Network Scientific Committee, Tokyo, Japan.
Kazuhiro WatanabeTokyo CCU Network Scientific Committee, Tokyo, Japan.
Mitsuhiro KawataTokyo CCU Network Scientific Committee, Tokyo, Japan.
Hiroshi MasuharaTokyo CCU Network Scientific Committee, Tokyo, Japan.
Manabu YamasakiTokyo CCU Network Scientific Committee, Tokyo, Japan.
Takeshi YamamotoTokyo CCU Network Scientific Committee, Tokyo, Japan.
Ken NagaoTokyo CCU Network Scientific Committee, Tokyo, Japan.
Morimasa TakayamaTokyo CCU Network Scientific Committee, Tokyo, Japan.
Shibuya University Network · JPSaiseikai Central Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In acute aortic dissection, weekend admissions are reported to be associated with increased mortality compared with weekday admissions. Objective: This study aimed to determine whether patients with acute type A aortic dissection (ATAAD) admitted on weekends had higher in-hospital mortality than those admitted on weekdays in the Tokyo metropolitan area, where we developed a patient-transfer system for aortic dissection. Methods: Data were collected during the first year after our transfer system began (cohort I) and in the subsequent years from 2013 to 2015 (cohort II). Results: We studied 2,339 patients (500 in cohort I; 1,839 in cohort II) with ATAAD. Patients with weekend admissions had higher in-hospital mortality than those with weekday admissions in cohort I. In association with increased interfacility transfer during weekends and reduced mortality at non-high-volume centers, the in-hospital mortality in the weekend group improved from 37.2% in cohort I to 22.2% in cohort II ( Conclusions: We found a significant reduction in in-hospital mortality in patients with weekend admissions for ATAAD. No mortality difference between weekend and weekday admissions was observed in the later years of the study.

Indexed as

AAD, acute aortic dissectionacute aortic dissectionATAAD, acute type A aortic dissectionCCU, cardiovascular care unitIMH, intramural hematomaIPW, inverse probability weightingmortalitynetworkTAAS, Tokyo Acute Aortic Super-networktransferweekend effect

Identifiers

PMID36338400
PMCPMC9627801
OpenAlexW4224996548

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.