Characteristics, clinical findings and outcomes of acute aortic dissection: A comparison between an Australian emergency department and the International Registry of Acute Aortic Dissection

Objectives Acute aortic dissection (AAD) is a rare, life‐threatening condition for which the International Registry of Acute Aortic Dissection (IRAD) remains the most detailed clinical resource. The present study compared the characteristics, clinical findings and outcomes of patients presenting to...

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Bibliographic Details
Published in:Emergency medicine Australasia 2022-12, Vol.34 (6), p.927-935
Main Authors: Slaven, John, Evans, Mark, Partyka, Christopher, Aneman, Anders, Middleton, Paul M
Format: Article
Language:English
Subjects:
aortic dissection
emergency department
lactate
mortality
syncope
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Summary:Objectives Acute aortic dissection (AAD) is a rare, life‐threatening condition for which the International Registry of Acute Aortic Dissection (IRAD) remains the most detailed clinical resource. The present study compared the characteristics, clinical findings and outcomes of patients presenting to Liverpool Hospital, NSW, Australia (LPOOL) with AAD to those in IRAD. Secondary aims were to identify LPOOL patient variables associated with 30‐day mortality and to assess the impact of transfer times in the ED on 30‐day mortality. Methods Retrospective observational study of patients presenting to LPOOL with AAD between 2011 and 2019. Clinical records were examined and compared with IRAD data. Variables in LPOOL associated (P 
ISSN:1742-6731
1742-6723
DOI:10.1111/1742-6723.14024