Evidence map›Paper›PMID 37029426›Full record

ArticleJournal of cardiothoracic surgery2023

Seasonal and daily variations in the occurence and outcomes of acute Stanford type A dissections: a retrospective single-center study.

Qinmei Lin, Qingsong Wu, Xiaodong Chen, Xingfeng Chen, Linfeng Xie, Liangwan Chen

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Article in Journal of cardiothoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

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6 authors.

Qinmei Lin *Department of Outpatient, Union Hospital, Fujian Medical University, Fuzhou, Fujian, People's Republic of China.
Qingsong Wu *Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Xinquan Road 29, Fuzhou, Fujian, People's Republic of China.
Xiaodong ChenDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Xinquan Road 29, Fuzhou, Fujian, People's Republic of China.
Xingfeng ChenDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Xinquan Road 29, Fuzhou, Fujian, People's Republic of China.
Linfeng XieFujian Medical University, Fuzhou, Fujian, People's Republic of China.
Liangwan ChenDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Xinquan Road 29, Fuzhou, Fujian, People's Republic of China. chenliangwan@tom.com.ORCID http://orcid.org/0000-0002-9359-4754

Funding

National Natural Science Foundation of China 81700418Startup Fund for Scientific Research at Fujian Medical University 2020QH1076
6 · The paper itself

Abstract

backgroundTo investigate the seasonal, monthly, and daily distributions of the incidence of Stanford type-A acute aortic dissection (TAAAD) and identify seasonality in the duration of hospital stay and in-hospital mortality of TAAAD in south-eastern China.

methodsWe enrolled patients diagnosed with TAAAD between 1 June 2017 and 31 May 2021. Participants were divided into seasonal, monthly, and daily groups according to the need for analysis. Analysis of variance was applied to compare the number of TAAAD in different seasons, months, and days. χ

resultsOf the 485 patients, 154 were diagnosed in winter (31.8%), 115 in spring (23.7%), 73 in summer (15.1%), and 143 in autumn (29.5%). The daily, monthly, and seasonal distributions of TAAAD were significantly different (P = 0.04, P < 0.01, and P < 0.01, respectively). This study did not identify any significant decrease in maximal, mean, or minimum temperatures between the three days before TAAAD and the day of TAAAD. No seasonal variations associated with in-hospital mortality was observed (P = 0.89). However, significant differences were observed in the seasonal distribution of the duration of hospital stay for TAAAD [winter was 17.0 (4.0-24.0) days, spring was 20.0 (14.0-29.0) days, summer was 20.0 (12.5-31.0) days, and autumn was 20.0 (13.0-30.0) days, P < 0.01]. Multiple factor analysis showed that winter was the independent risk factor for the increased duration of hospital stay. The odds ratio for winter was 2.21 (1.46, 3.33, P < 0.01).

conclusionsOur study confirmed that the incidence of TAAAD exhibits seasonal, monthly, and daily variations in south-eastern China. Moreover, the daily incidence of TAAAD is higher on weekdays than that on weekends.

Indexed as

Aortic DissectionChinaHumansRetrospective StudiesRisk FactorsSeasonsIn-hospital mortalitySouth-eastern ChinaStanford type A acute aortic dissectionWeather conditions

Identifiers

PMID37029426
PMCPMC10080959

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