دورية أكاديمية
Is Compliance With Guideline Recommended Follow-Up After Aortic Dissection Associated With Survival?
| العنوان: | Is Compliance With Guideline Recommended Follow-Up After Aortic Dissection Associated With Survival? |
|---|---|
| المؤلفون: | Sharma A; Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota., Manunga JM; Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota., Stanberry L; Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota., Pavlovec MP; Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota., Nwaudo D; Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota., Strauss C; Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota., Garberich RF; Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota., Sun B; Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota., Calcaterra D; Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota., Mudy K; Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota., Titus JM; Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota., Harris KM; Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota. Electronic address: kevin.harris@allina.com. |
| المصدر: | The Annals of thoracic surgery [Ann Thorac Surg] 2022 Mar; Vol. 113 (3), pp. 846-852. Date of Electronic Publication: 2021 Apr 17. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 15030100R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6259 (Electronic) Linking ISSN: 00034975 NLM ISO Abbreviation: Ann Thorac Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Amsterdam : Elsevier Original Publication: Boston. |
| مواضيع طبية MeSH: | Aortic Dissection*/complications , Aortic Dissection*/surgery, Appointments and Schedules ; Follow-Up Studies ; Humans ; Patient Compliance ; Retrospective Studies |
| مستخلص: | Background: Patients with acute aortic dissection (AD) remain at risk for long-term complications and thus are recommended to adhere closely to American College of Cardiology and American Heart Association aorta guideline-based follow-up imaging and clinic visits. The long-term outcomes of compliance with such a model are not well understood. Methods: This was a retrospective cohort study of patients at a regional AD center who survived hospital discharge for AD and who were analyzed by compliance with initial follow-up at 3 months and long term after AD. The primary end point was death. Results: A total of 172 (66% type A; 33% type B) patients survived hospitalization and were followed up over 48 months (interquartile range [IQR], 21, 88 months). Of these patients, 122 (71%) attended the first follow-up appointment, and 90 (52%) attended more than two-thirds of recommended appointments. Patients who attended the first follow-up visit had improved long-term follow-up compliance (75% [IQR, 50%, 91%]) compared with patients who did not attend the first visit (18% [IQR, 0%, 57%]). Noncompliance with the scheduled long-term follow-up was associated with a 50% increase in the risk of death (hazard ratio, 1.6; 95% confidence interval, 1.2, 2.1; P < .001). Furthermore, in patients with low compliance (consistently attending less than one-third of follow-up appointments), the lifetime risk of death after AD was more than double that of patients with high compliance (consistently attending more than two-thirds of appointments) (hazard ratio, 2.2; 95% confidence interval, 1.5, 3.1; P < .001). Conclusions: Nearly one-third of patients with AD do not attend the first recommended follow-up visit, and such failure was associated with later noncompliance with subsequent follow-up. Low-compliant patients have double the lifetime risk of death after AD than do high-compliant patients. (Copyright © 2022 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20210420 Date Completed: 20220408 Latest Revision: 20221207 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.athoracsur.2021.04.010 |
| PMID: | 33878311 |
| قاعدة البيانات: | MEDLINE |
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