Prognostic dynamic nomogram integrated with metabolic acidosis for in-hospital mortality and organ malperfusion in acute type B aortic dissection patients undergoing thoracic endovascular aortic repair

Liu, Jitao; Liu, Weijie; Ma, Wentao; Chen, Lyufan; Hong, Liang; Fan, Ruixin; Zeng, Hongke; Geng, Qingshan; Yang, Fan; Luo, Jianfang

doi:10.1186/s12872-021-01932-8

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…Li et al [72] proposed a novel simplified thrombo-inflammatory prognostic score to predict in-hospital complications in patients with AAAD, which has great clinical significance for identifying high-risk patients. In addition, Liu et al [73] developed a nomogram combined with metabolic acidosis to predict high-risk acute type B aortic dissection patients with organ hypoperfusion after TEVAR. Recently, many scholars have committed to developing new technologies to prevent or minimize the harm caused by complications [74] and, through the establishment of models or specific algorithms, to identify and predict the occurrence of complications early so as to better realize individualized risk assessment and perioperative management.…”

Section: Discussionmentioning

confidence: 99%

Section: Research Hotspotsmentioning

confidence: 99%

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Hotspots and development frontiers of postoperative complications of AD: Bibliometric analysis – a review

et al. 2023

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The research on the postoperative complications of aortic dissection (AD) has received great attention from scholars all over the world, and the number of research articles in this field has consistently increased year after year. However, no bibliometric reports have been published yet to analyze the scientific output and the current situation in this field. The Bibliometrix R-package, VOSviewer, and CiteSpace software were used to conduct a bibliometric analysis of the hotspots and development frontiers of AD. A total of 1242 articles were retrieved. The USA, China, and Japan had the highest number of publications. The five keywords with the highest frequency were "analysis," "incidence," "acute type," "graft," and "risk factor." The results also indicated that the research in related fields had shifted from surgical treatment and utilizing experience to the evidence-based exploration of risk factors and the construction of prediction models to help better manage postoperative complications of AD. This is the first bibliometric analysis of global publications on the postoperative complications of AD. The current research hotspots focus on three areas: common postoperative complications of AD, exploration of the related risk factors, and management of complications. Future research could focus on identifying risk factors through meta-analysis and using a multicenter database for AD as well as building relevant models to predict the development of complications to better facilitate the clinical management of AD patients.

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Section: Discussionmentioning

confidence: 99%

Section: Research Hotspotsmentioning

confidence: 99%

Hotspots and development frontiers of postoperative complications of AD: Bibliometric analysis – a review

et al. 2023

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Impact of D-dimer on in-hospital mortality following aortic dissection: A systematic review and meta-analysis

Srikanth,

Abrishami,

Subramanian

et al. 2024

World J Cardiol

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BACKGROUND The utility of D-dimer (DD) as a biomarker for acute aortic dissection (AD) is recognized. Yet, its predictive value for in-hospital mortality remains uncertain and subject to conflicting evidence. AIM To conduct a meta-analysis of AD-related in-hospital mortality (ADIM) with elevated DD levels. METHODS We searched PubMed, Scopus, Embase, and Google Scholar for AD and ADIM literature through May 2022. Heterogeneity was assessed using I 2 statistics and effect size (hazard or odds ratio) analysis with random-effects models. Sample size, study type, and patients’ mean age were used for subgroup analysis. The significance threshold was P < 0.05. RESULTS Thirteen studies (3628 patients) were included in our study. The pooled prevalence of ADIM was 20% (95%CI: 15%-25%). Despite comparable demographic characteristics and comorbidities, elevated DD values were associated with higher ADIM risk (unadjusted effect size: 1.94, 95%CI: 1.34-2.8; adjusted effect size: 1.12, 95%CI: 1.05-1.19, P < 0.01). Studies involving patients with a mean age of < 60 years exhibited an increased mortality risk (effect size: 1.43, 95%CI: 1.23-1.67, P < 0.01), whereas no significant difference was observed in studies with a mean age > 60 years. Prospective and larger sample size studies (n > 250) demonstrated a heightened likelihood of ADIM associated with elevated DD levels (effect size: 2.57, 95%CI: 1.30-5.08, P < 0.01 vs effect size: 1.05, 95%CI: 1.00-1.11, P = 0.05, respectively). CONCLUSION Our meta-analysis shows elevated DD increases in-hospital mortality risk in AD patients, highlighting the need for larger, prospective studies to improve risk prediction models.

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Prognostic dynamic nomogram integrated with metabolic acidosis for in-hospital mortality and organ malperfusion in acute type B aortic dissection patients undergoing thoracic endovascular aortic repair

Cited by 2 publications

References 23 publications

Hotspots and development frontiers of postoperative complications of AD: Bibliometric analysis – a review

Hotspots and development frontiers of postoperative complications of AD: Bibliometric analysis – a review

Impact of D-dimer on in-hospital mortality following aortic dissection: A systematic review and meta-analysis

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