Evidence map›Paper›PMID 40722161›Full record

Observational studyBMC surgery2025

Postoperative pulmonary complications in acute type A aortic dissection.

Pengfei Chen, Haochao Li, Chenyu Liu, Mingjian Chen, Diming Zhao, Liang Chen, Xiangyang Qian, Jundong Pu, Zujun Chen, Yuetang Wang and 1 more

Abstract readObservational Study
In one paragraph

Observational study in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Pengfei Chen *Cardiovascular Surgery Department, Fuwai Hospital, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovescular Diseases, Beijing, China.
Haochao Li *Cardiovascular Surgery Department, Fuwai Hospital, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovescular Diseases, Beijing, China.
Chenyu Liu *Cardiovascular Surgery Department, Fuwai Hospital, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovescular Diseases, Beijing, China.
Mingjian ChenCardiovascular Surgery Department, Fuwai Hospital, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovescular Diseases, Beijing, China.
Diming ZhaoCardiovascular Surgery Department, Fuwai Hospital, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovescular Diseases, Beijing, China.
Liang ChenCardiovascular Surgery Department, Fuwai Hospital, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovescular Diseases, Beijing, China.
Xiangyang QianCardiovascular Surgery Department, Fuwai Hospital, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovescular Diseases, Beijing, China.
Jundong PuIntensive Care Unit, Dali Bai Autonomous Prefecture People's Hospital, Dali, Yunnan, China.
Zujun ChenCardiovascular Surgery Department, Fuwai Hospital, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovescular Diseases, Beijing, China. chenzujun@fuwai.com.
Yuetang WangCardiovascular Surgery Department, Fuwai Hospital, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovescular Diseases, Beijing, China. 18611759057@163.com.
Liqing WangCardiovascular Surgery Department, Fuwai Hospital, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovescular Diseases, Beijing, China. wangliqing@fuwai.com.

Funding

Central High Level Hospital of Fuwai Hospital, Chinese Academy of Medical Sciences Clinical Research Business Expenses 2023-GSP-GG-30the Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences 2021-I2M-1-016This work was supported by the National Natural Science Foundation of China NSFC8210022135
6 · The paper itself

Abstract

objectiveThe objective of this study was to identify the perioperative risk factors associated with postoperative pulmonary complications (PPCs) following emergency surgery for Acute Type A Aortic Dissection (ATAAD) and to evaluate the impact of these complications on short- and long-term patient outcomes.

methodsA retrospective observational analysis was conducted on 750 adult patients who underwent emergency surgery for ATAAD between January 2017 and December 2019.

resultsThe overall in-hospital mortality was 5.7%. Among 750 patients, 91 patients(12.1%) developed PPCs. Multivariable logistic regression analysis indicated that smoking(OR = 2.212, 95%CI: 1.361-3.595, P = 0.001), previous cardiac surgery(OR = 2.818, 95%CI: 1.259-6.310, P = 0.012), CPB time(OR = 1.003, 95%CI: 1.000-1.006, P = 0.047), and red blood cell transfusion(OR = 1.091, 95%CI: 1.059-1.124, P < 0.001) were associated with an increased risk of developing PPCs. Patients who developed PPCs had a higher 30-day mortality rate (P < 0.001), longer lengths of stay in the ICU and hospital(P < 0.001), increased healthcare costs(P < 0.001), and lower long-term survival rates(P = 0.005).

conclusionThe incidence of PPCs is high in patients undergoing cardiac surgery for aortic dissection, adversely affecting their prognosis. This study identified four key risk factors associated with the development of PPCs.

Indexed as

Aortic Aneurysm, ThoracicAortic DissectionLung DiseasesPostoperative ComplicationsAcute DiseaseAdultAgedFemaleHospital MortalityHumansMaleMiddle AgedRetrospective StudiesRisk FactorsAcute type A aortic dissectionCardiac surgeryPostoperative pulmonary complications

Identifiers

PMID40722161
PMCPMC12302878

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.