Why the study?
What is the long-term mortality and quality of life trajectory in survivors of acute aortic dissection type A?
What is the long-term mortality and quality of life trajectory in survivors of acute aortic dissection type A?
Survivors of acute type A aortic dissection experience a significant long-term decline in quality of life, particularly in physical and mental components, highlighting the need for ongoing support.
Survivors warrant ongoing QoL monitoring; leaves open optimal supportive strategies for prospective trials.
BACKGROUND: Aortic dissection is a severe and sophisticated disease that is often linked with a number of possible complications. Our study concerns with long-term outcome and quality of life (QoL) in acute aortic dissection type A (AADA) survivors. METHODS: From January 1999 until December 2006, 120 consecutive patients with AADA received an emergency operation. Of the total number of patients, 84 were males (70.0%) and 36 females (30.0%), mean aged 59.8 ± 12 years with a mean follow-up (FU) of 99.2 ± 6 months. RESULTS: Overall mortality was 39.1% during the observational period with a maximum of 156 months. SF-36 observation showed a significant decay in both Physical Component Summary (PCS) and Mental Component Summary (MCS) in FUII (PCS = 38.4) versus FUI (PCS = 43.4, p = 0.013). CONCLUSION: With ongoing postoperative time, patients did not recover but instead have got worse in terms of QoL. The decrease in MCP and linked subscores is an underestimated factor in QoL and long-term outcome after AADA. This is especially true in younger patients, which are judged to compensate better than older patients.
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Hamiko et al. (2015) studied this question.
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