Key result
Implementation of a dedicated multidisciplinary acute aortic dissection team and transfer protocol significantly reduced 30-day/in-hospital operative mortality from 33.9% to 7.7%.
Why the study?
Does the implementation of a dedicated acute aortic dissection team and transfer protocol reduce mortality in patients with acute type A aortic dissection?
Population
212 patients with spontaneously occurring acute type A aortic dissection at a single center. Excluded…
Comparison
Implementation of a dedicated acute aortic… vs Historical control group from the 6 years prior…
Design
Cohort
Follow-up
30-day/in-hospital
Authors
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May support multidisciplinary aortic dissection teams; hypothesis-generating without randomized confirmation.
Cohort (n=212)
No
Does the implementation of a dedicated acute aortic dissection team and transfer protocol reduce mortality in patients with acute type A aortic dissection?
Absolute Event Rate: 7.7% vs 33.9%
p-value: p=<0.0001
Centralization of acute type A aortic dissection care through a dedicated multidisciplinary team and standardized transfer protocols significantly reduces operative mortality.
Andersen et al. (2016) conducted a cohort in Acute type A aortic dissection (ATAAD) (n=212). Multidisciplinary acute aortic dissection (AAD) team and RACE-AD transfer protocol vs. Pre-AAD team era (standard care prior to July 2005) was evaluated on 30-day/in-hospital operative mortality (p=<0.0001). Implementation of a dedicated multidisciplinary acute aortic dissection team and transfer protocol significantly reduced 30-day/in-hospital operative mortality from 33.9% to 7.7%.
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