@article{ACS11142,
author = {Vito D. Bruno and Pierpaolo Chivasso and Gustavo Guida and Hunaid A. Vohra},
title = {Surgical repair of Stanford type A aortic dissection in elderly patients: a contemporary systematic review and meta-analysis},
journal = {Annals of Cardiothoracic Surgery},
volume = {5},
number = {4},
year = {2016},
keywords = {},
abstract = {Background: The results of surgical treatment of type A aortic dissection (AAD) in the elderly are controversial and aggravated by a higher operative mortality rate. The studies published in this subset of patients are mainly retrospective analyses or small samples from international registries. We sought to investigate this topic by conducting a contemporary meta-analysis of the most recent observational studies.
Methods: A systematic literature search was conducted for any study published in the last five years on aortic dissection treated surgically in patients 70 years and older. A pooled risk-ratio meta-analysis has been conducted three main post-operative outcomes: short-term mortality, stroke and acute kidney injury.
Results: A total of 11 retrospective observational studies have been included in the quantitative meta-analysis. Pooled meta-analysis showed an increased risk of short term mortality for the elderly population [relative risk (RR) =2.25; 95% CI, 1.79–2.83; I2=0%; P},
issn = {2304-1021}, url = {https://www.annalscts.com/article/view/11142}
}