Nationwide database analysis of one-year readmission rates after open surgical or thoracic endovascular repair of Stanford Type B aortic dissectionCentral MessagePerspective

Autor: John A. Treffalls, BS, Christopher B. Sylvester, PhD, Umang Parikh, MD, Rodrigo Zea-Vera, MD, Christopher T. Ryan, MD, Qianzi Zhang, MS, Todd K. Rosengart, MD, Matthew J. Wall, MD, Joseph S. Coselli, MD, Subhasis Chatterjee, MD, Ravi K. Ghanta, MD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: JTCVS Open, Vol 11, Iss , Pp 1-13 (2022)
Druh dokumentu: article
ISSN: 2666-2736
DOI: 10.1016/j.xjon.2022.07.002
Popis: Objective: We examined readmissions and resource use during the first postoperative year in patients who underwent thoracic endovascular aortic repair or open surgical repair of Stanford type B aortic dissection. Methods: The Nationwide Readmissions Database (2016-2018) was queried for patients with type B aortic dissection who underwent thoracic endovascular aortic repair or open surgical repair. The primary outcome was readmission during the first postoperative year. Secondary outcomes included 30-day and 90-day readmission rates, in-hospital mortality, length of stay, and cost. A Cox proportional hazards model was used to determine risk factors for readmission. Results: During the study period, type B aortic dissection repair was performed in 6456 patients, of whom 3517 (54.5%) underwent thoracic endovascular aortic repair and 2939 (45.5%) underwent open surgical repair. Patients undergoing thoracic endovascular aortic repair were older (63 vs 59 years; P
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