ArticleEmergency medicine journal : EMJ2024
Consensus statement on the interhospital transfer of patients with acute aortic syndrome: TRAVERSING Delphi study.
Article in Emergency medicine journal : EMJ, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 7 citations in OpenAlex.
- The aortic window: a temporal framework for acute type A aortic dissection.Annals of cardiothoracic surgery · 2026Article
- Developing sensitive quality indicators for ground inter-hospital transport of adult critically ill patients using Donabedian model.Frontiers in public health · 2026Article
- Unraveling the Key Factors Behind Patient Decision Delay in Aortic Dissection Patients: A Cross-Sectional Study.Patient preference and adherence · 2025Article
- Time critical diagnoses and transfers of patients with acute type A aortic dissection in the UK: national audit of current practice.Anaesthesia · 2024Article
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18 authors at 10 institutions in 1 country.
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Abstract
backgroundStandardisation of referral pathways and the transfer of patients with acute aortic syndromes (AAS) to regional centres are recommended by NHS England in the Acute Aortic Dissection Toolkit. The aim of the Transfer of Thoracic Aortic Vascular Emergencies to Regional Specialist INstitutes Group study was to establish an interdisciplinary consensus on the interhospital transfer of patients with AAS to specialist high-volume aortic centres.
methodsConsensus on the key aspects of interhospital transfer of patients with AAS was established using the Delphi method, in line with Conducting and Reporting of Delphi Studies guidelines. A national patient charity for aortic dissection was involved in the design of the Delphi study. Vascular and cardiothoracic surgeons, emergency physicians, interventional radiologists, cardiologists, intensivists and anaesthetists in the United Kingdom were invited to participate via their respective professional societies.
resultsThree consecutive rounds of an electronic Delphi survey were completed by 212, 101 and 58 respondents, respectively. Using predefined consensus criteria, 60 out of 117 (51%) statements from the survey were included in the consensus statement. The study concluded that patients can be taken directly to a specialist aortic centre if they have typical symptoms of AAS on the background of known aortic disease or previous aortic intervention. Accepted patients should be transferred in a category 2 ambulance (response time <18 min), ideally accompanied by transfer-trained personnel or Adult Critical Care Transfer Services. A clear plan should be agreed in case of a cardiac arrest occurring during the transfer. Patients should reach the aortic centre within 4 hours of the initial referral from their local hospital.
conclusionsThis consensus statement is the first set of national interdisciplinary recommendations on the interhospital transfer of patients with AAS. Its implementation is likely to contribute to safer and more standardised emergency referral pathways to regional high-volume specialist aortic units.
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