| Correlates of Delayed Recognition and Treatment of Acute Type A Aortic Dissection: The International Registry of Acute Aortic Dissection (IRAD). | |
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MedLine Citation:
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PMID: 21969019 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: <0.05). The largest relative DTRs were for fever (DTR=5.11; P<0.001) and transfer from nontertiary hospital (DTR=3.34; P<0.001). Delay in time from diagnosis to surgery was associated with a history of previous cardiac surgery, presentation without abrupt or any pain, and initial presentation to a nontertiary care hospital (all P<0.001). The strongest factors associated with operative delay were prolonged time from presentation to diagnosis (DTR=1.35; P<0.001), race other than white (DTR=2.25; P<0.001), and history of coronary artery bypass surgery (DTR=2.81; P<0.001).Conclusions-Improved physician awareness of atypical presentations and prompt transport of acute aortic dissection patients could reduce crucial time variables. |
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Authors:
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Kevin M Harris; Craig E Strauss; Kim A Eagle; Alan T Hirsch; Eric M Isselbacher; Thomas T Tsai; Hadas Shiran; Rossella Fattori; Arturo Evangelista; Jeanna V Cooper; Daniel G Montgomery; James B Froehlich; Christoph A Nienaber; |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-10-3 |
Journal Detail:
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Title: Circulation Volume: - ISSN: 1524-4539 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-4 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0147763 Medline TA: Circulation Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Minneapolis Heart Institute Foundation at Abbott-Northwestern Hospital, Minneapolis, MN. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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