TY  - JOUR
AU  - Bruno, Vito D.
AU  - Chivasso, Pierpaolo
AU  - Guida, Gustavo
AU  - Vohra, Hunaid A.
PY  - 2016
TI  - Surgical repair of Stanford type A aortic dissection in elderly patients: a contemporary systematic review and meta-analysis
JF  - Annals of Cardiothoracic Surgery; Vol 5, No 4 (July 01, 2016): Type A Aortic Dissection (II)
Y2  - 2016
KW  - 
N2  - 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
UR  - https://www.annalscts.com/article/view/11142