Observational studyAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2026
Preoperative and Intraoperative Predictors of Direct Home Discharge in Patients with Acute Type A Aortic Dissection: A Single-Center Retrospective Observational Study.
Observational study in Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 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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Abstract
purposeThis study aimed to identify the preoperative and intraoperative predictors of direct home discharge in patients following surgical repair for acute type A aortic dissection (ATAAD).
methodsWe included patients with ATAAD who underwent surgical repair between 2012 and 2025. Patients were categorized into 2 groups based on their discharge destination. Multivariable logistic regression analysis was performed to identify independent predictors of direct home discharge.
resultsAmong 277 patients, 133 (48.01%) were discharged directly home. Multivariable logistic regression analysis revealed that age (per year, odds ratio [OR], 0.961; 95% confidence interval [CI], 0.936-0.986; P = 0.003), living alone (OR, 0.523; 95% CI, 0.277-0.985; P = 0.045), cardiac tamponade (OR, 0.434; 95% CI, 0.203-0.927; P = 0.031), and neurological deficits of the extremities (OR, 0.369; 95% CI, 0.161-0.845; P = 0.018) were significant independent predictors of direct home discharge. The area under the receiver operating characteristic curve was 0.731.
conclusionAdvanced age, living alone, preoperative cardiac tamponade, and neurological deficits of the extremities are significant predictors of a reduced likelihood of direct home discharge following surgical repair for ATAAD.
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