Hospital transfers and travel distances up to 100 miles for acute type A aortic dissection repair did not increase operative mortality compared to shorter distances (P=0.69).
Cohort
Yes
Does longer travel distance increase operative mortality in patients undergoing acute type A aortic dissection repair?
Hospital transfers and travel distances up to 100 miles for acute type A aortic dissection repair do not increase operative mortality, supporting the safety of regionalized care within this radius.
p-value: p=0.69
Objectives: Few data are available to examine the impact of travel distance on outcomes in acute type A aortic dissection (ATAAD). We hypothesized that longer travel would increase mortality after ATAAD repair. Methods: We studied the impact of travel distance ≤100 miles before ATAAD repair between July 2011 and September 2022 using a regional collaborative database. Patients were stratified into quartiles, and the longest and shortest distance quartiles were compared. High-volume centers were defined as those averaging >10 ATAAD repairs annually. Multivariable and hierarchical logistic regression models were fit to identify preoperative and intraoperative risk factors associated with operative mortality. Results: = .69) were nonsignificant. Conclusions: Hospital transfers and travel distances up to 100 miles for ATAAD repair did not increase operative mortality.
Norman et al. (Tue,) conducted a cohort in Acute type A aortic dissection (ATAAD). Longest travel distance quartile (≤100 miles) vs. Shortest travel distance quartile was evaluated on Operative mortality (p=0.69). Hospital transfers and travel distances up to 100 miles for acute type A aortic dissection repair did not increase operative mortality compared to shorter distances (P=0.69).