ArticleInterdisciplinary cardiovascular and thoracic surgery2025
Determinants of Interhospital Mortality in Acute Type A Aortic Dissection.
Article in Interdisciplinary cardiovascular and thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- The incidence and associated factors of pulmonary embolism after cardiac surgery: A retrospective nationwide inpatient sample database study.American heart journal plus : cardiology research and practice · 2026Article
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8 authors.
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Abstract
objectivesTo evaluate the impact of preoperative characteristics and interhospital distance on interhospital mortality in patients with acute type A aortic dissection.
methodsPatients with acute type A aortic dissection referred to our institution for emergency surgery between May 2020 and December 2024 were retrospectively reviewed. Preoperative characteristics were obtained from registry data based on information available at the time of referral. Interhospital distance was measured in kilometres and minutes using a navigation application.
resultsAmong 176 patients, 14 interhospital mortalities (8.0%) occurred after the transfer request, with a median interhospital distance of 47 minutes. Significant risk factors for interhospital mortality included pericardial effusion (odds ratio [OR]: 4.03; 95% CI: 1.29-12.64), shock (OR: 97.84; 95% CI: 12.11-790.65), and cardiopulmonary resuscitation before referral (OR: 64.40; 95% CI: 6.57-631.20). Compared to patients referred from the hospitals located within 40 minutes, those referred from the hospitals within 40-80 minutes had a significantly higher risk of interhospital mortality (OR: 6.08; 95% CI: 1.39-42.2). In patients with shock, the cumulative incidence of cardiopulmonary resuscitation increased over time, reaching 21.9% at 60 minutes and 39.0% at 120 minutes after the referral request.
conclusionsPericardial effusion, shock, cardiopulmonary resuscitation before referral, and interhospital distance were identified as significant risk factors for interhospital mortality in patients with acute type A aortic dissection.
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