Aortic centres should represent the standard of care for acute aortic syndrome
Why the study?
Does treatment at specialized aortic centers reduce hospital/30-day mortality in adult patients undergoing repair for acute aortic syndromes?
Population
79,131 adult patients from 30 observational studies undergoing repair for acute aortic syndromes (AAS)
Comparison
Treatment at specialized aortic centers vs Treatment at non-specialized or low-volume…
Design
Meta-analysis
Follow-up
30-day or in-hospital
Authors
Discussion
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Member takes
Implication
May support referral to high-volume centers for acute aortic syndromes; extends observational evidence but leaves causal effects open.
Structured PICO
Does treatment at specialized aortic centers reduce hospital/30-day mortality in adult patients undergoing repair for acute aortic syndromes?
P
Population
79,131 adult patients from 30 observational studies undergoing repair for acute aortic syndromes (AAS)
I
Intervention
Treatment at specialized aortic centers (high-volume centers, high-volume surgeons, multidisciplinary thoracic aortic surgery program, or dedicated on-call aortic team)
C
Comparator
Treatment at non-specialized or low-volume centers/surgeons
O
Outcome
Hospital/30-day mortalityhard clinical
Treatment of acute aortic syndromes at specialized, high-volume aortic centers with multidisciplinary teams significantly reduces hospital and 30-day mortality.
Limitations
- No randomized studies identified
Cite This Study
Mariscalco et al. (2018) studied this question.