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Outcomes of acute type A aortic dissection repair: Daytime versus nighttime
OBJECTIVE: We sought to report our experience of repairing acute type A aortic dissection (ATAAD) over 21 years during in-hours versus out-of-hours before and after the establishment of specialized aortic service and rota. METHODS: A retrospective analysis of all patients who had ATAAD repair betwee...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9390141/ https://www.ncbi.nlm.nih.gov/pubmed/36003743 http://dx.doi.org/10.1016/j.xjon.2021.04.017 |
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author | Harky, Amer Mason, Sabrina Othman, Ahmed Shaw, Matthew Nawaytou, Omar Harrington, Deborah Kuduvalli, Manoj Field, Mark |
author_facet | Harky, Amer Mason, Sabrina Othman, Ahmed Shaw, Matthew Nawaytou, Omar Harrington, Deborah Kuduvalli, Manoj Field, Mark |
author_sort | Harky, Amer |
collection | PubMed |
description | OBJECTIVE: We sought to report our experience of repairing acute type A aortic dissection (ATAAD) over 21 years during in-hours versus out-of-hours before and after the establishment of specialized aortic service and rota. METHODS: A retrospective analysis of all patients who had ATAAD repair between November 1998 and December 2019 in our center. In-hours were defined as 08:00 to 19:59 hours and out of hours were defined as 20:00 to 07:59 hours. RESULTS: A total of 286 patients underwent repair of ATAAD. Eighty operations took place during the prerota period (43 operations in hours, 37 out of hours) and 206 operations during the specialized rota period (110 in hours, 96 out of hours). There was no difference in 30-day mortality between the in-hours and out-of-hours groups in either the prerota (23.3% vs 32.4%; P = .36) or specialized rota periods (11.6% vs 11.5%; P = .94). Mean number of cases per year increased by 83% between the prerota and specialized rota periods. Thirty-day mortality reduced in both the in-hours (23.3% vs 11.6%) and out-of-hours (32.4% vs 11.5%) groups since introduction of the specialized aortic rota. CONCLUSIONS: Outcomes in repair of ATAAD during in-hours and out-of-hours periods are similar when operated on in a specialized unit with a dedicated aortic team. This emphasizes the current global trend of service centralization without particular attention to time of day to operate on such critical cohort patients. |
format | Online Article Text |
id | pubmed-9390141 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-93901412022-08-23 Outcomes of acute type A aortic dissection repair: Daytime versus nighttime Harky, Amer Mason, Sabrina Othman, Ahmed Shaw, Matthew Nawaytou, Omar Harrington, Deborah Kuduvalli, Manoj Field, Mark JTCVS Open Adult: Aorta OBJECTIVE: We sought to report our experience of repairing acute type A aortic dissection (ATAAD) over 21 years during in-hours versus out-of-hours before and after the establishment of specialized aortic service and rota. METHODS: A retrospective analysis of all patients who had ATAAD repair between November 1998 and December 2019 in our center. In-hours were defined as 08:00 to 19:59 hours and out of hours were defined as 20:00 to 07:59 hours. RESULTS: A total of 286 patients underwent repair of ATAAD. Eighty operations took place during the prerota period (43 operations in hours, 37 out of hours) and 206 operations during the specialized rota period (110 in hours, 96 out of hours). There was no difference in 30-day mortality between the in-hours and out-of-hours groups in either the prerota (23.3% vs 32.4%; P = .36) or specialized rota periods (11.6% vs 11.5%; P = .94). Mean number of cases per year increased by 83% between the prerota and specialized rota periods. Thirty-day mortality reduced in both the in-hours (23.3% vs 11.6%) and out-of-hours (32.4% vs 11.5%) groups since introduction of the specialized aortic rota. CONCLUSIONS: Outcomes in repair of ATAAD during in-hours and out-of-hours periods are similar when operated on in a specialized unit with a dedicated aortic team. This emphasizes the current global trend of service centralization without particular attention to time of day to operate on such critical cohort patients. Elsevier 2021-05-05 /pmc/articles/PMC9390141/ /pubmed/36003743 http://dx.doi.org/10.1016/j.xjon.2021.04.017 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Adult: Aorta Harky, Amer Mason, Sabrina Othman, Ahmed Shaw, Matthew Nawaytou, Omar Harrington, Deborah Kuduvalli, Manoj Field, Mark Outcomes of acute type A aortic dissection repair: Daytime versus nighttime |
title | Outcomes of acute type A aortic dissection repair: Daytime versus nighttime |
title_full | Outcomes of acute type A aortic dissection repair: Daytime versus nighttime |
title_fullStr | Outcomes of acute type A aortic dissection repair: Daytime versus nighttime |
title_full_unstemmed | Outcomes of acute type A aortic dissection repair: Daytime versus nighttime |
title_short | Outcomes of acute type A aortic dissection repair: Daytime versus nighttime |
title_sort | outcomes of acute type a aortic dissection repair: daytime versus nighttime |
topic | Adult: Aorta |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9390141/ https://www.ncbi.nlm.nih.gov/pubmed/36003743 http://dx.doi.org/10.1016/j.xjon.2021.04.017 |
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