Evidence map›Paper›PMID 41572202›Full record

ArticleBMC cardiovascular disorders2026

Trends and disparities in aortic dissection mortality in the united states: a retrospective analysis.

Mohamed Fawzi Hemida, Alyaa Ahmed Ibrahim, Nafila Zeeshan, Mohammad Rayyan Faisal, Krish Patel, Mirna Hussein, Arwa Khaled Dessouky, Maryam Saghir, Eshal Saghir, Muhammad Raza Sarfraz and 8 more

Abstract readComparative Study
In one paragraph

Article in BMC cardiovascular disorders, 2026. 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

18 authors.

Mohamed Fawzi HemidaFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0009-0001-0155-1539
Alyaa Ahmed IbrahimFaculty of Medicine, Alexandria University, Alexandria, Egypt. alyaaahmedmasoud9@gmail.com.ORCID http://orcid.org/0009-0003-9702-8463
Nafila ZeeshanDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID http://orcid.org/0009-0003-9538-8051
Mohammad Rayyan FaisalDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID http://orcid.org/0009-0001-6453-279X
Krish PatelC. U. Shah Medical College, Surendranagar, Gujarat, India.ORCID http://orcid.org/0000-0002-9753-8661
Mirna HusseinFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0000-0003-0424-4443
Arwa Khaled DessoukyFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0009-0004-7290-409X
Maryam SaghirDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.ORCID http://orcid.org/0009-0000-4051-7838
Eshal SaghirDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID http://orcid.org/0009-0003-1062-8053
Muhammad Raza SarfrazAllied Hospital, Faisalabad Medical University, Punjab, Pakistan.ORCID http://orcid.org/0000-0002-2735-9852
Zahin ShahriarDhaka Medical College Hospital, Dhaka, Bangladesh.ORCID http://orcid.org/0009-0003-9480-7402
Maha Al Haj KadourFaculty of Medicine, Damascus University, Damascus, Syria.ORCID http://orcid.org/0000-0003-4344-6240
Abdullah Farahat ElbannaDepartment of Medicine, Division of Rheumatology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.
Mohamed Ahmed Rahma DawelbaitDepartment of Internal Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.ORCID http://orcid.org/0000-0001-5166-6011
Muhammad Faizan AliJinnah Postgraduate Medical Center, Karachi, Pakistan.
Ahmad M AbdelkhalekNorthwestern Medicine McHenry Hospital, Rosalind Franklin University, Chicago, USA.
Rana SayedKasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt.
Khaled AliInternal Medicine Department, Rosalind Franklin University of Medicine and Science, North Chicago, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAortic Dissection (AD) is a life-threatening condition and one of the major causes of death in the U.S. Despite its clinical significance, trends in AD related mortality remain understudied. We aim to analyze nationwide mortality trends in AD in the U.S.

methodsData from CDC WONDER (1999–2024) identified U.S mortality rates in adults aged ≥ 25 years with AD (ICD-10: I71.0). Crude mortality rates (CMRs) and age-adjusted mortality rates (AAMRs) per 100,000 were calculated. Trends were analyzed using Joinpoint regression to estimate annual percent change (APC) and average annual percent change (AAPC).

resultsFrom 1999 to 2024, a total of 115,449 deaths from AD were recorded. The AAMR increased from 2.1 in 1999 to 2.4 in 2024 (AAPC of 0.46; 95% CI: 0.31 to 0.61; p < 0.001). Men had higher mortality than women (Overall AAMR: 2.62; p < 0.001 vs. 1.45; p < 0.001) (AAPC: 0.22; 95% CI: 0.05 to 0.39 vs. 0.61; 95% CI: 0.42 to 0.83) respectively. Racially, non-Hispanic (NH) Blacks demonstrated the greatest overall AAMR of 3.11. Regionally, AAMRs were highest in the Midwest (2.17) followed by the West (2.14). The urban areas had higher overall AAMRs than the rural areas (1.95, p = 0.27 vs. 1.90, p = 0.074). The majority of deaths occurred in medical facilities (88,976 deaths, 77.06%) and in older adults with CMR (5.8).

conclusionMortality trends in AD increased from 1999 to 2024. Higher trends occurred in men, urban areas, Midwest region, NH Black population and medical facilities.

Indexed as

Aortic DissectionHealth Status DisparitiesAdultAgedAge FactorsBlack or African AmericanFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsRural PopulationSex FactorsUnited StatesUrban PopulationAortic dissectionCardiovascularMortalityTrends

Identifiers

PMID41572202
PMCPMC12825201

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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.