FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2368143187> ?p ?o ?g. }

• W2368143187 endingPage "615.e1" @default.
• W2368143187 startingPage "606" @default.
• W2368143187 abstract "ObjectivePopulation-based assessment of aortic dissection (AD) hospitalizations in the general United States population is limited. We assessed the current trends in AD admissions and in-hospital mortality for surgical and medical AD treatment.MethodsPatients admitted for primary diagnosis of AD were identified from the National Inpatient Sample database (2003-2012). Patients were identified by International Classification of Diseases-Ninth Revision diagnosis codes and categorized by treatment type: type A open surgical repair (TASR), type B open surgical repair (TBSR), thoracic endovascular aortic repair (TEVAR), and medical management (MM). Our primary outcomes were to evaluate admission trends and in-hospital mortality of AD. Secondary outcomes included postoperative complications. We used weighted national estimates of admissions to assess trends over time using linear regression. We also identified factors associated with mortality via a hierarchical multivariable logistic regression model.ResultsWe identified 15,641 patients (60.7% male; mean age, 63.5 years) admitted with a primary diagnosis of AD between 2003 and 2012. Intervention types included TASR in 3253 (20.8%), TBSR in 3007 (19.2%), TEVAR in 1417 (9.1%), and MM in 7964 (50.9%). Overall weighted admissions for AD increased significantly, from 6980 in 2003 to 8875 in 2012 (P < .01, test of trend), with increases in admission for TASR, from 1143 in 2003 to 2130 in 2012 (P < .01, test of trend), and TEVAR from 96 in 2005 to 1130 in 2012 (P < .01, test of trend). TBSR and MM admissions were stable, with TBSR admissions at 1519 in 2003 and 1540 in 2012 (P = .9, test of trend) and MM admissions at 4319 in 2003 and 4075 in 2012 (P = .8, test of trend). During the same interval, overall in-hospital mortality rates for AD decreased from 18.1% to 13.0% (P < .01, test of trend). When stratified by intervention type, mortality rates decreased for TASR, from 20.5% to 14.8% (P < .01, test of trend), for TBSR, from 18.0% to 14.3% (P = .03, test of trend), and for MM, from 17.5% to 13.9% (P < .01, test of trend). Mortality rates for TEVAR were stable, with an average mortality of 7.9% (P = .8, test of trend) during the study period. Factors associated with increased mortality included older age, Caucasian race, nonelective admission, pre-existing peripheral vascular disease, and acute postoperative complication of myocardial infarction, stroke, or kidney failure. Admissions at a center with high surgical volume were associated with a decreased mortality for TBSR admissions only (odds ratio, 0.55; 95% confidence interval, 0.4-0.7).ConclusionsOverall and surgical admission rates for AD appear to be increasing, and in-hospital mortality rates are decreasing. TEVAR mortality remains mostly unchanged, however, suggesting targets for further improvement in mortality for AD treatment. Decreased mortality for TBSR at centers with a high surgical volume may suggest a need for regionalization of AD care. Population-based assessment of aortic dissection (AD) hospitalizations in the general United States population is limited. We assessed the current trends in AD admissions and in-hospital mortality for surgical and medical AD treatment. Patients admitted for primary diagnosis of AD were identified from the National Inpatient Sample database (2003-2012). Patients were identified by International Classification of Diseases-Ninth Revision diagnosis codes and categorized by treatment type: type A open surgical repair (TASR), type B open surgical repair (TBSR), thoracic endovascular aortic repair (TEVAR), and medical management (MM). Our primary outcomes were to evaluate admission trends and in-hospital mortality of AD. Secondary outcomes included postoperative complications. We used weighted national estimates of admissions to assess trends over time using linear regression. We also identified factors associated with mortality via a hierarchical multivariable logistic regression model. We identified 15,641 patients (60.7% male; mean age, 63.5 years) admitted with a primary diagnosis of AD between 2003 and 2012. Intervention types included TASR in 3253 (20.8%), TBSR in 3007 (19.2%), TEVAR in 1417 (9.1%), and MM in 7964 (50.9%). Overall weighted admissions for AD increased significantly, from 6980 in 2003 to 8875 in 2012 (P < .01, test of trend), with increases in admission for TASR, from 1143 in 2003 to 2130 in 2012 (P < .01, test of trend), and TEVAR from 96 in 2005 to 1130 in 2012 (P < .01, test of trend). TBSR and MM admissions were stable, with TBSR admissions at 1519 in 2003 and 1540 in 2012 (P = .9, test of trend) and MM admissions at 4319 in 2003 and 4075 in 2012 (P = .8, test of trend). During the same interval, overall in-hospital mortality rates for AD decreased from 18.1% to 13.0% (P < .01, test of trend). When stratified by intervention type, mortality rates decreased for TASR, from 20.5% to 14.8% (P < .01, test of trend), for TBSR, from 18.0% to 14.3% (P = .03, test of trend), and for MM, from 17.5% to 13.9% (P < .01, test of trend). Mortality rates for TEVAR were stable, with an average mortality of 7.9% (P = .8, test of trend) during the study period. Factors associated with increased mortality included older age, Caucasian race, nonelective admission, pre-existing peripheral vascular disease, and acute postoperative complication of myocardial infarction, stroke, or kidney failure. Admissions at a center with high surgical volume were associated with a decreased mortality for TBSR admissions only (odds ratio, 0.55; 95% confidence interval, 0.4-0.7). Overall and surgical admission rates for AD appear to be increasing, and in-hospital mortality rates are decreasing. TEVAR mortality remains mostly unchanged, however, suggesting targets for further improvement in mortality for AD treatment. Decreased mortality for TBSR at centers with a high surgical volume may suggest a need for regionalization of AD care." @default.
• W2368143187 created "2016-06-24" @default.
• W2368143187 creator A5043875322 @default.
• W2368143187 creator A5052788917 @default.
• W2368143187 creator A5053378731 @default.
• W2368143187 creator A5055044637 @default.
• W2368143187 creator A5065997886 @default.
• W2368143187 creator A5067240950 @default.
• W2368143187 creator A5079966989 @default.
• W2368143187 creator A5086606546 @default.
• W2368143187 date "2016-09-01" @default.
• W2368143187 modified "2023-10-16" @default.
• W2368143187 title "Improving mortality trends for hospitalization of aortic dissection in the National Inpatient Sample" @default.
• W2368143187 cites W1486622146 @default.
• W2368143187 cites W1979522701 @default.
• W2368143187 cites W1986494606 @default.
• W2368143187 cites W1991626893 @default.
• W2368143187 cites W2000354927 @default.
• W2368143187 cites W2001409489 @default.
• W2368143187 cites W2004077363 @default.
• W2368143187 cites W2007813416 @default.
• W2368143187 cites W2008078029 @default.
• W2368143187 cites W2021119141 @default.
• W2368143187 cites W2021200658 @default.
• W2368143187 cites W2029602408 @default.
• W2368143187 cites W2030078519 @default.
• W2368143187 cites W2032580109 @default.
• W2368143187 cites W2059267586 @default.
• W2368143187 cites W2070315883 @default.
• W2368143187 cites W2108147471 @default.
• W2368143187 cites W2113018640 @default.
• W2368143187 cites W2114988424 @default.
• W2368143187 cites W2124588568 @default.
• W2368143187 cites W2134209848 @default.
• W2368143187 cites W2137009239 @default.
• W2368143187 cites W2159964772 @default.
• W2368143187 cites W2161722088 @default.
• W2368143187 cites W2324750222 @default.
• W2368143187 cites W2463737640 @default.
• W2368143187 cites W2613454590 @default.
• W2368143187 doi "https://doi.org/10.1016/j.jvs.2016.03.427" @default.
• W2368143187 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/27183856" @default.
• W2368143187 hasPublicationYear "2016" @default.
• W2368143187 type Work @default.
• W2368143187 sameAs 2368143187 @default.
• W2368143187 citedByCount "36" @default.
• W2368143187 countsByYear W23681431872017 @default.
• W2368143187 countsByYear W23681431872018 @default.
• W2368143187 countsByYear W23681431872019 @default.
• W2368143187 countsByYear W23681431872020 @default.
• W2368143187 countsByYear W23681431872021 @default.
• W2368143187 countsByYear W23681431872022 @default.
• W2368143187 countsByYear W23681431872023 @default.
• W2368143187 crossrefType "journal-article" @default.
• W2368143187 hasAuthorship W2368143187A5043875322 @default.
• W2368143187 hasAuthorship W2368143187A5052788917 @default.
• W2368143187 hasAuthorship W2368143187A5053378731 @default.
• W2368143187 hasAuthorship W2368143187A5055044637 @default.
• W2368143187 hasAuthorship W2368143187A5065997886 @default.
• W2368143187 hasAuthorship W2368143187A5067240950 @default.
• W2368143187 hasAuthorship W2368143187A5079966989 @default.
• W2368143187 hasAuthorship W2368143187A5086606546 @default.
• W2368143187 hasBestOaLocation W23681431871 @default.
• W2368143187 hasConcept C126322002 @default.
• W2368143187 hasConcept C141071460 @default.
• W2368143187 hasConcept C151956035 @default.
• W2368143187 hasConcept C160735492 @default.
• W2368143187 hasConcept C162324750 @default.
• W2368143187 hasConcept C194828623 @default.
• W2368143187 hasConcept C2776098176 @default.
• W2368143187 hasConcept C2779195980 @default.
• W2368143187 hasConcept C2779980429 @default.
• W2368143187 hasConcept C2779993142 @default.
• W2368143187 hasConcept C2908647359 @default.
• W2368143187 hasConcept C2994150672 @default.
• W2368143187 hasConcept C50522688 @default.
• W2368143187 hasConcept C71924100 @default.
• W2368143187 hasConcept C99454951 @default.
• W2368143187 hasConceptScore W2368143187C126322002 @default.
• W2368143187 hasConceptScore W2368143187C141071460 @default.
• W2368143187 hasConceptScore W2368143187C151956035 @default.
• W2368143187 hasConceptScore W2368143187C160735492 @default.
• W2368143187 hasConceptScore W2368143187C162324750 @default.
• W2368143187 hasConceptScore W2368143187C194828623 @default.
• W2368143187 hasConceptScore W2368143187C2776098176 @default.
• W2368143187 hasConceptScore W2368143187C2779195980 @default.
• W2368143187 hasConceptScore W2368143187C2779980429 @default.
• W2368143187 hasConceptScore W2368143187C2779993142 @default.
• W2368143187 hasConceptScore W2368143187C2908647359 @default.
• W2368143187 hasConceptScore W2368143187C2994150672 @default.
• W2368143187 hasConceptScore W2368143187C50522688 @default.
• W2368143187 hasConceptScore W2368143187C71924100 @default.
• W2368143187 hasConceptScore W2368143187C99454951 @default.
• W2368143187 hasIssue "3" @default.
• W2368143187 hasLocation W23681431871 @default.
• W2368143187 hasLocation W23681431872 @default.
• W2368143187 hasOpenAccess W2368143187 @default.
• W2368143187 hasPrimaryLocation W23681431871 @default.

• next