Evidence map›Paper›PMID 39618854›Full record

ArticleReviews in cardiovascular medicine2024

Challenges and Innovations in Postoperative Care for Acute Type A Aortic Dissection: The Role of Structured Surveillance and Virtual Wards.

Robert Pruna-Guillen, Laerke Ghosh, Tara M Mastracci, Vikas Kapil, Ana Lopez-Marco, Aung Oo, on behalf the of the rest of the aortic dissection surgical team at Barts Heart Centre (London, UK)

Abstract readEditorial
In one paragraph

Article in Reviews in cardiovascular medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Robert Pruna-GuillenDepartment of Cardiothoracic Surgery, St Bartholomew's Hospital, EC1A 7BE London, UK.
Laerke GhoshDepartment of Cardiothoracic Surgery, St Bartholomew's Hospital, EC1A 7BE London, UK.
Tara M MastracciDepartment of Cardiothoracic Surgery, St Bartholomew's Hospital, EC1A 7BE London, UK.
Vikas KapilBarts Blood Pressure Centre of Excellence, Barts Heart Centre, St Bartholomew's Hospital, EC1A 7BE London, UK.
Ana Lopez-MarcoDepartment of Cardiothoracic Surgery, St Bartholomew's Hospital, EC1A 7BE London, UK.
Aung OoDepartment of Cardiothoracic Surgery, St Bartholomew's Hospital, EC1A 7BE London, UK.
on behalf the of the rest of the aortic dissection surgical team at Barts Heart Centre (London, UK)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute Type A aortic dissection (ATAAD) represents a life-threatening medical emergency that requires emergent surgical repair. Despite improvement in surgical techniques and perioperative management, ATAAD remains associated with high early mortality and postoperative complications. A structured and individualized postoperative surveillance program is essential, not only for improving survival rates but also for identifying risk factors necessitating reintervention and enhancing the quality of life. Comprehensive postoperative care should address both medical monitoring and psychological support to meet the holistic needs of ATAAD survivors. In real-world settings adherence to guideline-directed imaging surveillance (GDIS) is poor, leading to underestimation of reintervention rates. A comprehensive aortic service should include GDIS, clinical assessments, cardiovascular risk management, and psychological support. Since August 2022, a virtual ward has been implemented in our department to facilitate remote monitoring, ensuring tight blood pressure control and early detection of complications.

Indexed as

aortic dissectionblood pressure controlguideline-directed imaging surveillancepostoperative managementType A aortic dissectionvirtual wards

Identifiers

PMID39618854
PMCPMC11607483

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Registered trials

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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.