Aortic & peripheral vascular disease
Rehospitalisations, repeated aortic surgery, and death in initial survivors of surgery for Stanford type A aortic dissection and the significance of age - a nationwide registry-based cohort study
An erratum to this article was published (Eur Heart J Qual Care Clin Outcomes, 21 Jun 2023 ↗)
Main finding · DeathResult — go to the resultHazard ratio 2.44 95% CI 1.37–4.34Authors' conclusion
Rehospitalisations in the first year after discharge were common in all age groups, but survival was high. Repeated aortic surgery was significantly more common among younger than older patients.
Study context
- Population
- Survivors of hospitalization and surgery on the ascending aorta and/or aortic arch for Stanford type A aortic dissection, Danish nationwide registries (2006–2018)
- Participants
- 606 survivors
- Exposure
- Age groups: <60 vs 60-69 vs >69 years
- Group In = 36reference
- Group IIn = 194
- Group IIIn = 176
- Outcome
- Rehospitalization, repeated aortic surgery and death
Methodological detailsnationwide registry-based
- Nationwide registry-based
Main finding
Death · After 10 years
Hazard ratio
2.44
95% CI 1.37–4.34
By group
Group IIIvs group I
HR 2.44 (95% CI 1.37–4.34)
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Group I | Group II | Group III | HR (95% CI) | |
|---|---|---|---|---|---|
| Repeated aortic surgery · After 10 yearsGroup IIIvs group IMultivariable Cox | 11.5% | 8.5% | 1.6% | 0.17 (0.04–0.78) | |
| 0.050.21520Hazard ratio (log scale) |
Death · First year
- Repeated aortic surgery — Overall repeated aortic surgery
- 8.0%
- Death — Overall death
- 5.9%
- Repeated aortic surgery: P = 0.04 across groups
- Death: P = 0.04 across groups
Rehospitalization and repeated aortic surgery · First year
- Re-hospitalized, no significant difference across age groups
- 62.5%
- Repeated aortic surgery, no significant difference across age groups
- 1.4%
- P = 0.68 and P = 0.39, respectively
Original publication
Rehospitalisations, repeated aortic surgery, and death in initial survivors of surgery for Stanford type A aortic dissection and the significance of age - a nationwide registry-based cohort study. Eur Heart J Qual Care Clin Outcomes. Published 28 September 2022. doi:10.
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