Document Detail


Correlates of Delayed Recognition and Treatment of Acute Type A Aortic Dissection: The International Registry of Acute Aortic Dissection (IRAD).
MedLine Citation:
PMID:  21969019     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  JOURNAL ARTICLE     Date:  2011-10-3
Journal Detail:
Title:  Circulation     Volume:  -     ISSN:  1524-4539     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Minneapolis Heart Institute Foundation at Abbott-Northwestern Hospital, Minneapolis, MN.
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