ArticleJTCVS open2026
Analysis of failure to rescue in adult patients who undergo open, proximal aortic repair.
Article in JTCVS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
10 authors.
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Abstract
Objective: Failure to rescue (FTR) is a metric of postoperative care, measuring a center's ability to prevent operative death after a surgical complication. We evaluated trends in and contributors to FTR after proximal aortic surgery at a high-volume institution. Methods: Of 4180 patients in our single practice who underwent open proximal aortic repair from 1990 to 2024, 1304 (31.2%) had at least 1 of 4 FTR-related complications identified by the Society of Thoracic Surgeons (STS). Operative death was defined as death within 30 days of surgery or before hospital discharge or transfer. We analyzed FTR rate by specific complication, including the number and combination of complications. We then evaluated the association of elective versus emergency repair and aortic dissection with FTR rate. Finally, a multivariable model was built to predict FTR in these patients. Results: Of 1304 patients with an STS complication, 303 (23.2%) had operative death and thus an FTR. The FTR rate was 13% for patients with 1 complication and increased to 48%, 68%, and 100% with each additional complication. The 2 STS complications most associated with FTR were stroke (odds ratio, 5.92; Conclusions: The FTR rate significantly increased with each additional complication. We built a model that can effectively predict FTR. Better understanding of FTR rates can identify areas for improvement in postoperative care.
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