Evidence map›Paper›PMID 42604135›Full record

ArticleJTCVS open2026

Association between surgical timing and postoperative outcomes in type A acute aortic dissection.

Qiuyong Guo, Jiawei Zhu, Yuhuan Tian, Yi Jiang, Xin Li, Dongjin Wang, Vito Domenico Bruno, Yunxing Xue

Abstract read
In one paragraph

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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Qiuyong GuoDepartment of Cardiovascular Surgery, Nanjing Drum Tower Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College, Nanjing, China.
Jiawei ZhuDepartment of Cardiovascular Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Yuhuan TianDepartment of Cardiovascular Surgery, Nanjing Drum Tower Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College, Nanjing, China.
Yi JiangDepartment of Cardiovascular Surgery, Nanjing Drum Tower Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College, Nanjing, China.
Xin LiDepartment of Cardiovascular Surgery, Nanjing Drum Tower Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College, Nanjing, China.
Dongjin WangDepartment of Cardiovascular Surgery, Nanjing Drum Tower Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College, Nanjing, China.
Vito Domenico BrunoDepartment of Minimally Invasive Cardiac Surgery, IRCCS Galeazzi Sant'Ambrogio Hospital, Milan, Italy.
Yunxing XueDepartment of Cardiovascular Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to assess how the time interval between onset of symptoms and hospital admission associates with postoperative outcomes after type A acute aortic dissection (TAAD) repair. Methods: From January 2011 to January 2020, 1406 consecutive patients underwent TAAD repair at our center. We included 1228 patients who were admitted within 72 hours of symptom onset and divided them into 2 groups: 867 patients in the early (≤12 hours) and 361 in the late (>12 hours and <72 hours) admission group. Results: Hypotension (11% vs 7.6%, Conclusions: Our analysis indicates that the timing of surgery in patients with TAAD is primarily driven by the presence of more severe symptoms and signs of ischemia and, despite early treatment, these patients have increased rates of complications and mortality. This emphasizes the importance of the clinical status on admission, rather than the time, as the main driver for postoperative complications.

Indexed as

aortic dissectionaortic surgeryearly interventionmortality

Identifiers

PMID42604135
PMCPMC13476996

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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.